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Heel, Counter, Plastic Reinforced

Pennsylvania rates for HCPCS L3430

Heel, counter, plastic reinforced

Rates data updated July 2026.

How much does Heel, Counter, Plastic Reinforced cost?

$93.33

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $302 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$91.20$79.43 to $115
FacilityA hospital or hospital-owned outpatient department$302$100 to $676

How much rates vary

Facilitymedian $302 · 10th to 90th $78 to $1,000Professionalmedian $91 · 10th to 90th $78 to $151
$100$1K$10Kfacility $302professional $91

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
$77.62
Median
$77.62
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$134.90
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$190.55
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
$107.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$363.08
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$190.55
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$302.00
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$158.49
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$691.83
Typical High
$1,096.48
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$234.42
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$194.98

Where Pennsylvania 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.

Pennsylvania· 44th of 51

$93.33

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.