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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Massachusetts 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?

$813

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $575 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 9 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$813$447 to $871
FacilityA hospital or hospital-owned outpatient department$575$437 to $1,698

How much rates vary

Facilitymedian $575 · 10th to 90th $437 to $3,090Professionalmedian $813 · 10th to 90th $437 to $1,318
$1.0$10.0$100.0$1.0K$10.0Kfacility $575professional $813

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
$436.52
Median
$436.52
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$1,348.96
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$5,128.61
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$758.58
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$575.44
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,318.26
Health New England
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$5,128.61
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$758.58
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$758.58
Typical High
$933.25

Where Massachusetts 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.

Massachusetts $813 · 4th 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.