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Orthopedic Shoe Addition, Sole, Half

Georgia rates for HCPCS L3530

Orthopedic shoe addition, sole, half

Rates data updated July 2026.

How much does Orthopedic Shoe Addition, Sole, Half cost?

$22.91

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $38.90 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$22.91$18.20 to $32.36
FacilityA hospital or hospital-owned outpatient department$38.90$18.20 to $54.95

How much rates vary

Facilitymedian $39 · 10th to 90th $18 to $145Professionalmedian $23 · 10th to 90th $18 to $38
$10$20$50$100facility $39professional $23

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
$18.20
Median
$18.20
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$19.05
Typical High
$33.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$93.33
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$32.36
Typical High
$47.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$46.77
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$38.90
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$16.98
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.05
Typical High
$38.02

Where Georgia 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.

Georgia· 16th of 51

$22.91

MN $38.02DC $15.14

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.