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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Virginia 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 Virginia, 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 $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$380$380 to $479
FacilityA hospital or hospital-owned outpatient department$776$513 to $776

How much rates vary

Facilitymedian $776 · 10th to 90th $380 to $955Professionalmedian $380 · 10th to 90th $316 to $676
$1.0$10.0$100.0$1.0K$10.0Kfacility $776professional $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
$316.23
Median
$380.19
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$794.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$776.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$512.86
Typical High
$912.01
Medcost
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$416.87
Typical High
$977.24
Sentara
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,698.24
Sentara
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$630.96

Where Virginia 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.

Virginia $380 · 36th 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.