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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Georgia 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?

$513

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $871 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 6 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$513$417 to $724
FacilityA hospital or hospital-owned outpatient department$871$407 to $1,230

How much rates vary

Facilitymedian $871 · 10th to 90th $407 to $3,236Professionalmedian $513 · 10th to 90th $407 to $832
$1.0$10.0$100.0$1.0K$10.0Kfacility $871professional $513

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
$407.38
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$446.68
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,089.30
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$1,096.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$870.96
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$831.76

Where Georgia 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.

Georgia $513 · 22nd 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.