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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Tennessee 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?

$427

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $676 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$427$389 to $513
FacilityA hospital or hospital-owned outpatient department$676$427 to $5,129

How much rates vary

Facilitymedian $676 · 10th to 90th $398 to $5,129Professionalmedian $427 · 10th to 90th $380 to $724
$1.0$10.0$100.0$1.0Kfacility $676professional $427

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
$389.05
Median
$426.58
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$602.56

Where Tennessee 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.

Tennessee $427 · 44th 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.