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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Iowa rates for HCPCS L2114

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

Rates data updated July 2026.

How much does Tibial Fracture Orthosis, Semi-Rigid, Prefabricated cost?

$437

Typical negotiated rate. In Iowa, 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 $562 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 8 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$347 to $617
FacilityA hospital or hospital-owned outpatient department$562$437 to $1,047

How much rates vary

Facilitymedian $562 · 10th to 90th $339 to $1,820Professionalmedian $437 · 10th to 90th $309 to $891
$1.0$10.0$100.0$1.0Kfacility $562professional $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
$346.74
Median
$478.63
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$891.25
Typical High
$1,096.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$870.96
Typical High
$3,548.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$1,148.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$1,023.29
Midlands
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$1,148.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$707.95
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$891.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$691.83

Where Iowa sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $437 · 19th of 51
HI $1,122DC $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.