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Orthopedic Shoe Addition, Sole, Half

Pennsylvania rates for HCPCS L3530

Orthopedic shoe addition, sole, half

Rates data updated July 2026.

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

$18.62

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $58.88 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 9 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$18.62$16.22 to $23.44
FacilityA hospital or hospital-owned outpatient department$58.88$19.95 to $135

How much rates vary

Facilitymedian $59 · 10th to 90th $15 to $200Professionalmedian $19 · 10th to 90th $15 to $37
$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $59professional $19

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
$15.49
Median
$15.49
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$17.78
Typical High
$26.92
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$25.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$72.44
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.92
Typical High
$38.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$58.88
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$17.78
Typical High
$31.62
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$134.90
Typical High
$218.78
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.62
Typical High
$38.90

Where Pennsylvania sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $18.62 · 43rd of 51
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.