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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Idaho 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?

$575

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $759 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$537$417 to $741
FacilityA hospital or hospital-owned outpatient department$759$575 to $813

How much rates vary

Facilitymedian $759 · 10th to 90th $437 to $1,023Professionalmedian $537 · 10th to 90th $363 to $891
$1.0$10.0$100.0$1.0Kfacility $759professional $537

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
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$891.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$707.95
Typical High
$954.99
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$602.56
Typical High
$707.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$776.25
Typical High
$776.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$891.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,230.27
Select Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$467.74
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$575.44

Where Idaho 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.

Idaho $575 · 14th 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.