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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Indiana 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?

$479

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $955 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$479$447 to $501
FacilityA hospital or hospital-owned outpatient department$955$490 to $955

How much rates vary

Facilitymedian $955 · 10th to 90th $457 to $1,000Professionalmedian $479 · 10th to 90th $398 to $724
$1.0$10.0$100.0$1.0Kfacility $955professional $479

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
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$954.99
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$489.78
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,288.25
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
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$660.69

Where Indiana 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.

Indiana $479 · 32nd 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.