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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Hawaii 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?

$1,413

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $479 to $1,413.

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.

How much rates vary

Facilitymedian $501 · 10th to 90th $398 to $1,096Professionalmedian $1,413 · 10th to 90th $324 to $1,479
$500.0$1.0K$2.0Kfacility $501professional $1,413

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
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,288.25
Typical High
$1,737.80
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,412.54
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$1,698.24

Where Hawaii 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.

Hawaii $1,413 · 1st 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.