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Orthopedic Shoe Addition, Sole, Full

Missouri rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Rates data updated July 2026.

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

$33.88

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $50.12 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$33.11$31.62 to $44.67
FacilityA hospital or hospital-owned outpatient department$50.12$35.48 to $61.66

How much rates vary

Facilitymedian $50 · 10th to 90th $32 to $107Professionalmedian $33 · 10th to 90th $28 to $68
$20$50$100$200facility $50professional $33

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
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$33.88
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$32.36
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$36.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$48.98
Typical High
$288.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$30.20
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$50.12
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$30.20
Typical High
$53.70

Where Missouri 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.

Missouri· 26th of 51

$33.88

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.