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Heel, Counter, Plastic Reinforced

Rhode Island 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 Rhode Island, 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 $347 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 4 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$83.18 to $112
FacilityA hospital or hospital-owned outpatient department$347$234 to $398

How much rates vary

Facilitymedian $347 · 10th to 90th $107 to $437Professionalmedian $91 · 10th to 90th $83 to $120
$100.0$200.0$500.0facility $347professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$91.20
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$158.49
Typical High
$165.96
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
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$158.49

Where Rhode Island 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.

Rhode Island $93.33 · 42nd 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.