go back

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 October 2026.

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

$813

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $851 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$776$398 to $851
FacilityA hospital or hospital-owned outpatient department$851$813 to $46,774

How much rates vary

Facilitymedian $851 · 10th to 90th $550 to $47,863Professionalmedian $776 · 10th to 90th $79 to $891
$100$500$2K$10K$50Kfacility $851professional $776

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
Professional
Modifier
None
Typical Low
$257.04
Median
$489.78
Typical High
$812.83
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$851.14
Typical High
$851.14
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$1,023.29
Typical High
$47,863.01
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$912.01
Typical High
$50,118.72
Providence
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$851.14
Typical High
$851.14
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$630.96
Typical High
$851.14
United
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$398.11
Typical High
$660.69

Where Montana 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.

Montana· 6th of 51

$813

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.