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Orthopedic Shoe Addition, Sole, Half

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $38.02 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 8 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$20.42$18.62 to $25.70
FacilityA hospital or hospital-owned outpatient department$38.02$24.55 to $38.02

How much rates vary

Facilitymedian $38 · 10th to 90th $18 to $48Professionalmedian $20 · 10th to 90th $15 to $36
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $38professional $20

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
$15.14
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$18.62
Typical High
$20.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$43.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$38.02
Typical High
$53.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$37.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$24.55
Typical High
$42.66
Medcost
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$22.91
Typical High
$47.86
Sentara
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$109.65
Sentara
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$16.98
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$18.62
Typical High
$30.20

Where Virginia 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.

Virginia $20.89 · 30th 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.