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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Missouri 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?

$490

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $776 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$490$447 to $575
FacilityA hospital or hospital-owned outpatient department$776$513 to $871

How much rates vary

Facilitymedian $776 · 10th to 90th $447 to $1,479Professionalmedian $490 · 10th to 90th $363 to $955
$1.0$10.0$100.0$1.0Kfacility $776professional $490

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
$446.68
Median
$512.86
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$457.09
Typical High
$4,677.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$489.78
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$691.83
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$812.83

Where Missouri 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.

Missouri $490 · 26th 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.