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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

New Jersey 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?

$479

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $501 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$479$363 to $977
FacilityA hospital or hospital-owned outpatient department$501$501 to $562

How much rates vary

Facilitymedian $501 · 10th to 90th $457 to $933Professionalmedian $479 · 10th to 90th $324 to $977
$500$1Kfacility $501professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$371.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$416.87
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$162.18
Typical High
$208.93
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$64.57
Typical High
$83.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$48.98
Median
$48.98
Typical High
$63.10
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$32.36
Median
$32.36
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$977.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$1,288.25
Typical High
$1,288.25
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$562.34
Typical High
$933.25
United
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$501.19
Typical High
$933.25

Where New Jersey 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.

New Jersey· 40th of 51

$479

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.