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Orthopedic Shoe Addition, Sole, Half

Kentucky rates for HCPCS L3530

Orthopedic shoe addition, sole, half

Rates data updated July 2026.

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

$19.95

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $20.42 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$19.95$18.62 to $20.42
FacilityA hospital or hospital-owned outpatient department$20.42$19.95 to $41.69

How much rates vary

Facilitymedian $20 · 10th to 90th $15 to $54Professionalmedian $20 · 10th to 90th $17 to $24
$10$20$50$100facility $20professional $20

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
$19.95
Median
$19.95
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.95
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.95
Typical High
$20.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$52.48
Typical High
$67.61
CareSource
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$47.86
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$53.70
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$25.70
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$23.44
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$16.98
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.20
Typical High
$24.55

Where Kentucky 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.

Kentucky· 34th of 51

$19.95

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.