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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Michigan 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 Michigan, 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 $891 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 7 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$380 to $759
FacilityA hospital or hospital-owned outpatient department$891$437 to $2,042

How much rates vary

Facilitymedian $891 · 10th to 90th $389 to $3,090Professionalmedian $437 · 10th to 90th $347 to $759
$1.0$10.0$100.0$1.0Kfacility $891professional $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
$436.52
Median
$436.52
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,290.87
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$794.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$812.83
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,445.44
Typical High
$1,621.81
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$933.25
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$616.60
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$575.44

Where Michigan 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.

Michigan $437 · 18th 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.