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Orthopedic Shoe Addition, Sole, Half

Illinois rates for HCPCS L3530

Orthopedic shoe addition, sole, half

Rates data updated July 2026.

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

$25.70

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $25.12 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$25.12$19.50 to $29.51
FacilityA hospital or hospital-owned outpatient department$38.90$19.50 to $70.79

How much rates vary

Facilitymedian $39 · 10th to 90th $19 to $200Professionalmedian $25 · 10th to 90th $18 to $39
$10$20$50$100$200facility $39professional $25

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
$19.50
Median
$19.50
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.50
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$74.13
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$29.51
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$41.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$60.26
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
$50.12
Median
$50.12
Typical High
$50.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$30.90
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.05
Typical High
$32.36

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· 13th of 51

$25.70

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.