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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Vermont 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?

$513

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $513 for this service. Most negotiated rates run $479 to $603.

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.

How much rates vary

Facilitymedian $501 · 10th to 90th $302 to $562Professionalmedian $525 · 10th to 90th $479 to $603
$500.0$1.0K$2.0Kfacility $501professional $525

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
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$616.60
Typical High
$1,995.26

Where Vermont 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.

Vermont $513 · 21st 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.