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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Ohio 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?

$407

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 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 8 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$407$372 to $525
FacilityA hospital or hospital-owned outpatient department$776$617 to $851

How much rates vary

Facilitymedian $776 · 10th to 90th $407 to $1,230Professionalmedian $407 · 10th to 90th $295 to $794
$1.0$10.0$100.0$1.0Kfacility $776professional $407

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
$407.38
Median
$537.03
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$812.83
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$1,000.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$776.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$457.09
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$426.58
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$660.69
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$870.96
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$616.60
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$549.54

Where Ohio 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.

Ohio $407 · 25th 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.