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Orthopedic Shoe Addition, Sole, Full

Maine rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Rates data updated July 2026.

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

$36.31

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $70.79 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$36.31$32.36 to $52.48
FacilityA hospital or hospital-owned outpatient department$70.79$36.31 to $70.79

How much rates vary

Facilitymedian $71 · 10th to 90th $34 to $81Professionalmedian $36 · 10th to 90th $26 to $52
$20$50$100facility $71professional $36

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$38.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$43.65
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
$36.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$63.10
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$33.88
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$51.29
Typical High
$52.48

Where Maine 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.

Maine· 17th of 51

$36.31

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.