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Heel, Counter, Plastic Reinforced

Massachusetts rates for HCPCS L3430

Heel, counter, plastic reinforced

Rates data updated July 2026.

How much does Heel, Counter, Plastic Reinforced cost?

$166

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $132 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 8 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$166$91.20 to $166
FacilityA hospital or hospital-owned outpatient department$132$83.18 to $234

How much rates vary

Facilitymedian $132 · 10th to 90th $83 to $912Professionalmedian $166 · 10th to 90th $83 to $251
$1$10$100$1K$10Kfacility $132professional $166

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$91.20
Typical High
$263.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$912.01
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$144.54
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$114.82
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$251.19
Health New England
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$912.01
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$144.54
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$177.83

Where Massachusetts 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.

Massachusetts· 8th of 51

$166

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.