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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Montana 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?

$661

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $617 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$617$417 to $776
FacilityA hospital or hospital-owned outpatient department$776$646 to $851

How much rates vary

Facilitymedian $776 · 10th to 90th $501 to $1,023Professionalmedian $617 · 10th to 90th $257 to $977
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $776professional $617

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
Professional
Modifier
Global
Typical Low
$257.04
Median
$489.78
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$851.14
Typical High
$851.14
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,513.56
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,513.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$741.31
Typical High
$1,096.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$630.96
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$616.60

Where Montana 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.

Montana $661 · 10th 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.