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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Rhode Island 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?

$589

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,820 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$589$490 to $646
FacilityA hospital or hospital-owned outpatient department$1,820$1,445 to $2,089

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,096 to $2,291Professionalmedian $589 · 10th to 90th $363 to $813
$500$1K$2Kfacility $1,820professional $589

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
Professional
Modifier
None
Typical Low
$512.86
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$257.04
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$102.33
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$75.86
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$51.29
Median
$58.88
Typical High
$58.88
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,949.84
Typical High
$2,290.87
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$645.65
Typical High
$912.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
United
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$524.81
Typical High
$812.83

Where Rhode Island 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.

Rhode Island· 20th of 51

$589

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.