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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

New Hampshire 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?

$525

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $776 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$468$380 to $676
FacilityA hospital or hospital-owned outpatient department$776$525 to $832

How much rates vary

Facilitymedian $776 · 10th to 90th $437 to $955Professionalmedian $468 · 10th to 90th $372 to $676
$200.0$500.0$1.0K$2.0Kfacility $776professional $468

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
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$436.52
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$831.76
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$407.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$676.08
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$954.99

Where New Hampshire 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.

New Hampshire $525 · 11th 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.