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Heel, Counter, Plastic Reinforced

New Mexico rates for HCPCS L3430

Heel, counter, plastic reinforced

Rates data updated July 2026.

How much does Heel, Counter, Plastic Reinforced cost?

$105

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $110 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$105$83.18 to $145
FacilityA hospital or hospital-owned outpatient department$110$77.62 to $174

How much rates vary

Facilitymedian $110 · 10th to 90th $55 to $200Professionalmedian $105 · 10th to 90th $76 to $288
$100.0$200.0$500.0facility $110professional $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
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$812.83
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
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$288.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$125.89
Typical High
$190.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$128.82

Where New Mexico sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Mexico $105 · 27th of 51
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.