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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Michigan 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?

$525

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $1,096 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 7 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$525$457 to $933
FacilityA hospital or hospital-owned outpatient department$1,096$525 to $2,455

How much rates vary

Facilitymedian $1,096 · 10th to 90th $479 to $3,715Professionalmedian $525 · 10th to 90th $427 to $933
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,096professional $525

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
$524.81
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$478.63
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,818.38
Typical High
$5,370.32
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$977.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$1,000.00
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,778.28
Typical High
$1,995.26
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$1,148.15
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$758.58
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$436.52
Typical High
$660.69

Where Michigan 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.

Michigan $525 · 19th 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.