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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 July 2026.

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

$447

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $324 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$447$372 to $603
FacilityA hospital or hospital-owned outpatient department$324$324 to $513

How much rates vary

Facilitymedian $324 · 10th to 90th $324 to $977Professionalmedian $447 · 10th to 90th $355 to $955
$500.0$1.0K$2.0K$5.0Kfacility $324professional $447

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
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$501.19
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,288.25
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$562.34
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$954.99

Where New Jersey 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 Jersey $447 · 39th 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.