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Heel, Counter, Plastic Reinforced

Virginia 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 Virginia, 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 $191 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 8 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 $123
FacilityA hospital or hospital-owned outpatient department$191$123 to $191

How much rates vary

Facilitymedian $191 · 10th to 90th $87 to $234Professionalmedian $100 · 10th to 90th $78 to $178
$100$200$500$1K$2K$5K$10Kfacility $191professional $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
$77.62
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$104.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$208.93
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$269.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$190.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$123.03
Typical High
$218.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$239.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$549.54
Sentara
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$151.36

Where Virginia 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.

Virginia· 34th 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.