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Heel, Counter, Plastic Reinforced

Tennessee 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 Tennessee, 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 $151 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$91.20$87.10 to $112
FacilityA hospital or hospital-owned outpatient department$151$95.50 to $912

How much rates vary

Facilitymedian $151 · 10th to 90th $85 to $912Professionalmedian $91 · 10th to 90th $83 to $162
$100$200$500$1Kfacility $151professional $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
$87.10
Median
$95.50
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$91.20
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$107.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$128.82

Where Tennessee 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.

Tennessee· 43rd 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.