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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

South Dakota 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?

$589

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $661 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$589$447 to $871
FacilityA hospital or hospital-owned outpatient department$661$562 to $776

How much rates vary

Facilitymedian $661 · 10th to 90th $447 to $891Professionalmedian $589 · 10th to 90th $437 to $1,096
$200.0$500.0$1.0K$2.0K$5.0Kfacility $661professional $589

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$4,570.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$758.58
Midlands
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,174.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$501.19
Typical High
$891.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83

Where South Dakota 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.

South Dakota $589 · 8th 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.