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Orthopedic Shoe Addition, Sole, Full

Idaho rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Rates data updated July 2026.

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

$44.67

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $57.54 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$42.66$26.92 to $57.54
FacilityA hospital or hospital-owned outpatient department$57.54$44.67 to $61.66

How much rates vary

Facilitymedian $58 · 10th to 90th $32 to $74Professionalmedian $43 · 10th to 90th $25 to $68
$20$50$100facility $58professional $43

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
Professional
Modifier
Global
Typical Low
$23.44
Median
$36.31
Typical High
$52.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$36.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$56.23
Typical High
$66.07
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$57.54
Typical High
$61.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$52.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$58.88
Typical High
$58.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$67.61
Select Health
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$91.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$57.54
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$0.04
Median
$31.62
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$27.54
Typical High
$38.90

Where Idaho 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.

Idaho· 12th of 51

$44.67

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.