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Orthopedic Shoe Addition, Sole, Full

Illinois rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Rates data updated July 2026.

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

$41.69

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $63.10 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 6 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$41.69$31.62 to $47.86
FacilityA hospital or hospital-owned outpatient department$63.10$31.62 to $112

How much rates vary

Facilitymedian $63 · 10th to 90th $32 to $316Professionalmedian $42 · 10th to 90th $29 to $63
$20$50$100$200$500facility $63professional $42

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
$31.62
Median
$31.62
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$31.62
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$120.23
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$67.61
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$93.33
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$50.12
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.90
Typical High
$52.48

Where Illinois 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.

Illinois· 13th of 51

$41.69

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.