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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Kentucky 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?

$372

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $363 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$372$347 to $398
FacilityA hospital or hospital-owned outpatient department$363$339 to $708

How much rates vary

Facilitymedian $363 · 10th to 90th $295 to $1,047Professionalmedian $372 · 10th to 90th $302 to $417
$1.0$10.0$100.0$1.0Kfacility $363professional $372

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
$338.84
Median
$338.84
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$398.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,148.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$512.86
Typical High
$3,715.35
Molina
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$537.03

Where Kentucky 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.

Kentucky $372 · 39th 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.