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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

South Carolina 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?

$457

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $513 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 6 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$457$427 to $617
FacilityA hospital or hospital-owned outpatient department$513$427 to $813

How much rates vary

Facilitymedian $513 · 10th to 90th $427 to $1,096Professionalmedian $457 · 10th to 90th $407 to $759
$500.0$1.0K$2.0K$5.0Kfacility $513professional $457

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
$426.58
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$426.58
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,071.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$537.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,380.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$602.56

Where South Carolina 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.

South Carolina $457 · 37th 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.