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Heel, Thomas with Wedge

Illinois rates for HCPCS L3465

Heel, Thomas with wedge

Rates data updated July 2026.

How much does Heel, Thomas with Wedge cost?

$37.15

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $72.44 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 6 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$36.31$35.48 to $58.88
FacilityA hospital or hospital-owned outpatient department$72.44$36.31 to $129

How much rates vary

Facilitymedian $72 · 10th to 90th $36 to $363Professionalmedian $36 · 10th to 90th $32 to $72
$20$50$100$200$500facility $72professional $36

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
$36.31
Median
$36.31
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$36.31
Typical High
$72.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$77.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$102.33
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$57.54
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$60.26

Where Illinois 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.

Illinois· 34th of 51

$37.15

MN $70.79DC $28.18

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.