go back

Orthopedic Shoe Addition, Sole, Full

Montana rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Rates data updated July 2026.

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

$57.54

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $60.26 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$51.29$27.54 to $60.26
FacilityA hospital or hospital-owned outpatient department$60.26$51.29 to $72.44

How much rates vary

Facilitymedian $60 · 10th to 90th $38 to $182Professionalmedian $51 · 10th to 90th $20 to $117
$100$1K$10K$100Kfacility $60professional $51

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
Professional
Modifier
Global
Typical Low
$17.78
Median
$32.36
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$64.57
Typical High
$64.57
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$117.49
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$117.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$57.54
Typical High
$74.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$27.54
Typical High
$41.69

Where Montana 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.

Montana· 5th of 51

$57.54

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.