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Orthopedic Shoe Addition, Sole, Full

Kentucky rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Rates data updated July 2026.

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

$30.20

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $33.11 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$30.20$29.51 to $33.11
FacilityA hospital or hospital-owned outpatient department$33.11$31.62 to $66.07

How much rates vary

Facilitymedian $33 · 10th to 90th $25 to $85Professionalmedian $30 · 10th to 90th $28 to $39
$20$50$100$200facility $33professional $30

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
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$36.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$63.10
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$30.20
Typical High
$32.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$107.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$26.92
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$29.51
Typical High
$41.69

Where Kentucky 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.

Kentucky· 39th of 51

$30.20

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.