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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

North Dakota 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?

$741

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $589 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 5 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$741$589 to $891
FacilityA hospital or hospital-owned outpatient department$589$589 to $646

How much rates vary

Facilitymedian $589 · 10th to 90th $589 to $1,202Professionalmedian $741 · 10th to 90th $479 to $977
$500.0$1.0K$2.0K$5.0Kfacility $589professional $741

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
$588.84
Median
$588.84
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,071.52
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$794.33
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$616.60
Typical High
$1,096.48

Where North Dakota 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.

North Dakota $741 · 6th 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.