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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

New Hampshire 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 New Hampshire, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $1,000 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$603$490 to $871
FacilityA hospital or hospital-owned outpatient department$1,000$661 to $1,072

How much rates vary

Facilitymedian $1,000 · 10th to 90th $562 to $1,230Professionalmedian $603 · 10th to 90th $417 to $871
$500.0$1.0K$2.0K$5.0Kfacility $1,000professional $603

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
$562.34
Median
$562.34
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$870.96
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,230.27

Where New Hampshire 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.

New Hampshire $661 · 11th 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.