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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Minnesota 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?

$759

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,318 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$759$617 to $759
FacilityA hospital or hospital-owned outpatient department$1,318$759 to $2,884

How much rates vary

Facilitymedian $1,318 · 10th to 90th $646 to $6,166Professionalmedian $759 · 10th to 90th $437 to $891
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,318professional $759

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
$524.81
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$758.58
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,884.03
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,000.00
Typical High
$1,122.02
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$6,165.95
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$758.58
Typical High
$3,548.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$323.59
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$1,148.15

Where Minnesota 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.

Minnesota $759 · 2nd 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.