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Orthopedic Shoe Addition, Sole, Half

Maine 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 Maine, 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 $43.65 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$20.42 to $32.36
FacilityA hospital or hospital-owned outpatient department$43.65$25.70 to $44.67

How much rates vary

Facilitymedian $44 · 10th to 90th $21 to $50Professionalmedian $23 · 10th to 90th $16 to $32
$10$20$50$100facility $44professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.42
Typical High
$23.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$26.92
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
$25.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$38.90
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$21.88
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$32.36
Typical High
$32.36

Where Maine 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.

Maine· 17th 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.