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Tibial Fracture Orthosis, Soft, Prefabricated

North Carolina 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?

$437

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $501 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$437$295 to $501
FacilityA hospital or hospital-owned outpatient department$501$331 to $646

How much rates vary

Facilitymedian $501 · 10th to 90th $251 to $1,072Professionalmedian $437 · 10th to 90th $251 to $501
$200$500$1K$2Kfacility $501professional $437

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
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$501.19
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$851.14
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$363.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$316.23
Typical High
$407.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$501.19
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$398.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$5,011.87

Where North Carolina 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.

North Carolina· 8th of 51

$437

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.