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Orthopedic Shoe Addition, Sole, Full

Colorado rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Rates data updated July 2026.

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

$34.67

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $32.36 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$32.36$27.54 to $34.67
FacilityA hospital or hospital-owned outpatient department$46.77$34.67 to $63.10

How much rates vary

Facilitymedian $47 · 10th to 90th $18 to $79Professionalmedian $32 · 10th to 90th $26 to $47
$20$50$100$200facility $47professional $32

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
$34.67
Median
$34.67
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$34.67
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$32.36
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$57.54
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$46.77
Typical High
$77.62
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$63.10
Typical High
$109.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$131.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$63.10
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$31.62
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$27.54
Typical High
$40.74

Where Colorado sits

The same service costs 2.5 times more in Hawaii 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.

Colorado· 22nd of 51

$34.67

HI $61.66DC $24.55

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.