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Heel, Counter, Plastic Reinforced

New York rates for HCPCS L3430

Heel, counter, plastic reinforced

Rates data updated July 2026.

How much does Heel, Counter, Plastic Reinforced cost?

$100

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 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 9 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$100$93.33 to $151
FacilityA hospital or hospital-owned outpatient department$110$81.28 to $195

How much rates vary

Facilitymedian $110 · 10th to 90th $5 to $288Professionalmedian $100 · 10th to 90th $79 to $275
$10$100$1K$10Kfacility $110professional $100

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
$64.57
Median
$91.20
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$323.59
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$158.49
Typical High
$158.49
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$114.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$741.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$363.08
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.79
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$109.65
Typical High
$117.49
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$125.89
Typical High
$316.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$100.00
Typical High
$109.65
Univera
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$109.65
Typical High
$117.49

Where New York 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.

New York· 36th of 51

$100

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.