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Tibial Fracture Orthosis, Soft, Prefabricated

Illinois rates for HCPCS L2112

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does Tibial Fracture Orthosis, Soft, Prefabricated cost?

$331

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $617 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 6 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$324$309 to $468
FacilityA hospital or hospital-owned outpatient department$617$309 to $1,096

How much rates vary

Facilitymedian $617 · 10th to 90th $309 to $3,162Professionalmedian $324 · 10th to 90th $263 to $617
$200$500$1K$2K$5Kfacility $617professional $324

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
$309.03
Median
$309.03
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,174.90
Typical High
$4,168.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$588.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$776.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$501.19
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$537.03

Where Illinois sits

The same service costs 2.8 times more in Minnesota than in Vermont. 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.

Illinois· 21st of 51

$331

MN $603VT $214

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.