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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

New Jersey 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?

$380

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $407 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 5 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$380$316 to $550
FacilityA hospital or hospital-owned outpatient department$407$295 to $1,413

How much rates vary

Facilitymedian $407 · 10th to 90th $295 to $1,413Professionalmedian $380 · 10th to 90th $295 to $871
$100.0$200.0$500.0$1.0K$2.0Kfacility $407professional $380

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
$295.12
Median
$295.12
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$407.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$1,174.90
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$758.58
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$851.14

Where New Jersey 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 Jersey $380 · 33rd 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.