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Heel, Counter, Plastic Reinforced

Illinois rates for HCPCS L3430

Heel, counter, plastic reinforced

Rates data updated July 2026.

How much does Heel, Counter, Plastic Reinforced cost?

$110

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $195 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$105$100 to $151
FacilityA hospital or hospital-owned outpatient department$195$100 to $355

How much rates vary

Facilitymedian $195 · 10th to 90th $100 to $1,000Professionalmedian $105 · 10th to 90th $89 to $195
$100$200$500$1K$2Kfacility $195professional $105

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
$100.00
Median
$100.00
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$213.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$257.04
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$158.49
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$165.96

Where Illinois sits

The same service costs 2.5 times more in Minnesota 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.

Illinois· 22nd of 51

$110

MN $195DC $77.62

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.