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Orthopedic Shoe Addition, Insole, Leather

Pennsylvania rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Rates data updated July 2026.

How much does Orthopedic Shoe Addition, Insole, Leather cost?

$17.38

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $42.66 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 9 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$16.98$15.14 to $21.88
FacilityA hospital or hospital-owned outpatient department$42.66$14.13 to $69.18

How much rates vary

Facilitymedian $43 · 10th to 90th $14 to $166Professionalmedian $17 · 10th to 90th $14 to $35
$10$100$1K$10Kfacility $43professional $17

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
$14.13
Median
$14.13
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.60
Typical High
$24.55
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$23.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$66.07
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$35.48
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$54.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.60
Typical High
$28.84
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$123.03
Typical High
$199.53
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.98
Typical High
$35.48

Where Pennsylvania sits

The same service costs 2.5 times more in Hawaii 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.

Pennsylvania· 41st of 51

$17.38

HI $35.48DC $14.13

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.