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Orthopedic Shoe Addition, Sole, Half

Texas 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 Texas, 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 $28.84 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$17.38 to $21.88
FacilityA hospital or hospital-owned outpatient department$28.84$18.20 to $38.90

How much rates vary

Facilitymedian $29 · 10th to 90th $13 to $69Professionalmedian $19 · 10th to 90th $16 to $29
$10$20$50$100$200facility $29professional $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
$17.38
Median
$17.78
Typical High
$22.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$18.20
Typical High
$25.12
Christus
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$79.43
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
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$281.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$29.51
Typical High
$48.98
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$36.31
Typical High
$38.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$25.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$28.84
Typical High
$48.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$31.62
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.42
Typical High
$24.55
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$38.90
Typical High
$52.48

Where Texas 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.

Texas· 45th of 51

$18.62

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.