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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Maine 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?

$603

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $1,023 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$603$479 to $871
FacilityA hospital or hospital-owned outpatient department$1,023$562 to $1,175

How much rates vary

Facilitymedian $1,023 · 10th to 90th $501 to $1,259Professionalmedian $603 · 10th to 90th $407 to $871
$500.0$1.0K$2.0K$5.0Kfacility $1,023professional $603

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
$407.38
Median
$478.63
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,047.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$501.19
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$851.14
Typical High
$870.96

Where Maine 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.

Maine $603 · 13th 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.