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Orthopedic Shoe Addition, Sole, Full

Massachusetts rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Rates data updated July 2026.

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

$52.48

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 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$52.48$28.84 to $52.48
FacilityA hospital or hospital-owned outpatient department$57.54$26.30 to $74.13

How much rates vary

Facilitymedian $58 · 10th to 90th $26 to $288Professionalmedian $52 · 10th to 90th $26 to $79
$0.1$1$10$100$1K$10Kfacility $58professional $52

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
$26.30
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$28.84
Typical High
$91.20
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$60.26
Typical High
$288.40
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$46.77
Typical High
$72.44
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
$38.90
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$79.43
Health New England
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$60.26
Typical High
$288.40
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$46.77
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$33.88
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$50.12
Typical High
$56.23

Where Massachusetts 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.

Massachusetts· 9th of 51

$52.48

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.