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Orthopedic Shoe Addition, Sole, Half

Missouri rates for HCPCS L3530

Orthopedic shoe addition, sole, half

Rates data updated July 2026.

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

$20.89

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $30.90 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$20.89$19.95 to $26.30
FacilityA hospital or hospital-owned outpatient department$30.90$21.88 to $38.90

How much rates vary

Facilitymedian $31 · 10th to 90th $20 to $72Professionalmedian $21 · 10th to 90th $17 to $46
$10$20$50$100facility $31professional $21

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
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.89
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$20.89
Typical High
$35.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$25.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$177.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$30.90
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.05
Typical High
$33.11

Where Missouri 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.

Missouri· 28th of 51

$20.89

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.