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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

North Carolina 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?

$513

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $575 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$501$380 to $575
FacilityA hospital or hospital-owned outpatient department$575$407 to $759

How much rates vary

Facilitymedian $575 · 10th to 90th $295 to $1,349Professionalmedian $501 · 10th to 90th $309 to $575
$1.0$10.0$100.0$1.0K$10.0Kfacility $575professional $501

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
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$575.44
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$977.24
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$457.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$512.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$588.84
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$501.19
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$6,606.93

Where North Carolina 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.

North Carolina $513 · 12th 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.