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Tibial Fracture Cast Orthosis, Thermoplastic

New York rates for HCPCS L2106

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated

Rates data updated July 2026.

How much does Tibial Fracture Cast Orthosis, Thermoplastic cost?

$490

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $589 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$437 to $794
FacilityA hospital or hospital-owned outpatient department$589$437 to $1,023

How much rates vary

Facilitymedian $589 · 10th to 90th $372 to $1,514Professionalmedian $490 · 10th to 90th $347 to $1,413
$500$1K$2K$5K$10K$20K$50Kfacility $589professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,995.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,584.89
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$812.83
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,659.59
Typical High
$3,890.45
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$1,905.46
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$457.09
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$630.96
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$630.96
Typical High
$1,621.81
Univera
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$588.84
Univera
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$630.96

Where New York sits

The same service costs 4.7 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 23rd of 51

$490

HI $1,479DC $316

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.