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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

New Mexico 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?

$479

Typical negotiated rate. In New Mexico, July 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 $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$479$427 to $661
FacilityA hospital or hospital-owned outpatient department$589$398 to $794

How much rates vary

Facilitymedian $589 · 10th to 90th $257 to $977Professionalmedian $479 · 10th to 90th $380 to $1,349
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $589professional $479

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
$436.52
Median
$436.52
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$478.63
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,318.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$630.96
Typical High
$954.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$436.52
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$602.56

Where New Mexico 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 Mexico $479 · 31st 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.