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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Washington, DC rates for HCPCS L2116

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

Rates data updated July 2026.

How much does Tibial Fracture Orthosis (AFO), Rigid, Prefabricated cost?

$363

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $363 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$363$363 to $479
FacilityA hospital or hospital-owned outpatient department$363$363 to $363

How much rates vary

Facilitymedian $363 · 10th to 90th $363 to $1,318Professionalmedian $363 · 10th to 90th $363 to $479
$500.0$1.0Kfacility $363professional $363

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
$363.08
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$478.63
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$467.74
Typical High
$851.14

Where Washington, DC sits

The same service costs 3.9 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.

Washington, DC $363 · 51st of 51
HI $1,413DC $363

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.