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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

South Dakota 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?

$708

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $794 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 7 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$708$550 to $1,072
FacilityA hospital or hospital-owned outpatient department$794$661 to $933

How much rates vary

Facilitymedian $794 · 10th to 90th $550 to $1,096Professionalmedian $708 · 10th to 90th $525 to $1,349
$500$1K$2K$5Kfacility $794professional $708

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$549.54
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$575.44
Typical High
$5,623.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$933.25
Midlands
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,445.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$467.74
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$616.60
Typical High
$1,096.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14

Where South Dakota sits

The same service costs 3.9 times more in Hawaii than in Washington, DC. 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.

South Dakota· 7th of 51

$708

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.