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Heel, Counter, Plastic Reinforced

North Carolina rates for HCPCS L3430

Heel, counter, plastic reinforced

Rates data updated July 2026.

How much does Heel, Counter, Plastic Reinforced cost?

$155

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $170 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$148$100 to $170
FacilityA hospital or hospital-owned outpatient department$170$107 to $204

How much rates vary

Facilitymedian $170 · 10th to 90th $72 to $331Professionalmedian $148 · 10th to 90th $83 to $170
$50$100$200$500$1Kfacility $170professional $148

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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$288.40
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$107.15
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$79.43
Typical High
$112.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$125.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$169.82
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$158.49
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$134.90
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,412.54

Where North Carolina 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.

North Carolina· 10th of 51

$155

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.