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Orthopedic Shoe Addition, Sole, Half

Michigan rates for HCPCS L3530

Orthopedic shoe addition, sole, half

Rates data updated July 2026.

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

$21.88

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $46.77 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 7 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$21.88$19.05 to $38.02
FacilityA hospital or hospital-owned outpatient department$46.77$21.88 to $102

How much rates vary

Facilitymedian $47 · 10th to 90th $20 to $155Professionalmedian $22 · 10th to 90th $18 to $38
$1$10$100facility $47professional $22

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
$21.88
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$20.42
Typical High
$21.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$114.82
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$39.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
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
$25.70
Typical High
$42.66
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$72.44
Typical High
$81.28
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$30.90
Typical High
$46.77
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$31.62
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$30.90
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$17.78
Typical High
$27.54

Where Michigan 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.

Michigan· 20th of 51

$21.88

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.