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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Idaho 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?

$479

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $631 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$447$347 to $646
FacilityA hospital or hospital-owned outpatient department$631$468 to $676

How much rates vary

Facilitymedian $631 · 10th to 90th $347 to $977Professionalmedian $447 · 10th to 90th $302 to $759
$1.0$10.0$100.0$1.0Kfacility $631professional $447

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
Professional
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$407.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$575.44
Typical High
$776.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$645.65
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$478.63
Typical High
$588.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$645.65
Typical High
$645.65
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$758.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$1,548.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$380.19
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$467.74

Where Idaho 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.

Idaho $479 · 13th 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.