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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Tennessee rates for HCPCS L2114

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Rates data updated October 2026.

How much does Tibial Fracture Orthosis, Semi-Rigid, Prefabricated cost?

$347

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $407 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$295 to $501
FacilityA hospital or hospital-owned outpatient department$407$407 to $407

How much rates vary

Facilitymedian $407 · 10th to 90th $407 to $437Professionalmedian $324 · 10th to 90th $288 to $4,677
$200$500$1K$2K$5Kfacility $407professional $324

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$295.12
Typical High
$389.05
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$144.54
Median
$147.91
Typical High
$190.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$57.54
Median
$58.88
Typical High
$75.86
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$43.65
Median
$43.65
Typical High
$57.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$28.84
Median
$29.51
Typical High
$38.02
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$407.38
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
United
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$316.23
Typical High
$416.87

Where Tennessee sits

The same service costs 3.5 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Tennessee· 48th of 51

$347

HI $1,122DE $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.