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Heel, Counter, Plastic Reinforced

Tennessee rates for HCPCS L3430

Heel, counter, plastic reinforced

Rates data updated October 2026.

How much does Heel, Counter, Plastic Reinforced cost?

$97.72

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $97.72 for this service. Most negotiated rates run $85.11 to $148.

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.

How much rates vary

Facilitymedian $107 · 10th to 90th $107 to $112Professionalmedian $98 · 10th to 90th $79 to $1,000
$100$200$500$1Kfacility $107professional $98

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$87.10
Typical High
$95.50
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$42.66
Median
$43.65
Typical High
$47.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.98
Median
$17.38
Typical High
$19.05
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.88
Median
$13.18
Typical High
$14.45
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.51
Median
$8.71
Typical High
$9.55
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$107.15
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$93.33
Typical High
$114.82

Where Tennessee sits

The same service costs 2.6 times more in Montana than in Delaware. 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· 41st of 51

$97.72

MT $204DE $79.43

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.