go back

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 October 2026.

How much does Tibial Fracture Orthosis (AFO), Rigid, Prefabricated cost?

$759

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $1,318 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$525 to $933
FacilityA hospital or hospital-owned outpatient department$1,318$501 to $2,692

How much rates vary

Facilitymedian $1,318 · 10th to 90th $501 to $4,074Professionalmedian $741 · 10th to 90th $437 to $955
$500$1K$2K$5K$10Kfacility $1,318professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$933.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$269.15
Median
$269.15
Typical High
$467.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$107.15
Median
$107.15
Typical High
$186.21
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$81.28
Median
$81.28
Typical High
$138.04
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$53.70
Median
$53.70
Typical High
$93.33
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$2,754.23
Typical High
$5,248.07
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$933.25
Typical High
$933.25
CareSource
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$501.19
Typical High
$1,000.00
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$1,819.70
Typical High
$1,995.26
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$741.31
Typical High
$954.99
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Priority Health
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Priority Health
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$501.19
Typical High
$891.25
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$562.34
Typical High
$1,096.48
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$436.52
Typical High
$616.60

Where Michigan sits

The same service costs 3.9 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 10th of 51

$759

HI $1,413DE $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.