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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Ohio 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?

$501

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $955 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 8 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$501$457 to $617
FacilityA hospital or hospital-owned outpatient department$955$724 to $1,023

How much rates vary

Facilitymedian $955 · 10th to 90th $501 to $1,413Professionalmedian $501 · 10th to 90th $363 to $955
$1.0$10.0$100.0$1.0Kfacility $955professional $501

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
$501.19
Median
$660.69
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$2,041.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$1,230.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$724.44
Typical High
$1,023.29
CareSource
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$549.54
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$524.81
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$812.83
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$630.96

Where Ohio 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.

Ohio $501 · 24th 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.