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Orthopedic Shoe Addition, Sole, Full

Utah rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Rates data updated July 2026.

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

$34.67

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $26.92 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 7 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$34.67$24.55 to $63.10
FacilityA hospital or hospital-owned outpatient department$26.92$17.78 to $61.66

How much rates vary

Facilitymedian $27 · 10th to 90th $18 to $62Professionalmedian $35 · 10th to 90th $18 to $263
$20$50$100$200facility $27professional $35

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
$17.78
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$27.54
Typical High
$263.03
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
Molina
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$45.71
Typical High
$58.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$61.66
Typical High
$61.66
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$67.61
Select Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$61.66
Typical High
$63.10
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$63.10
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$27.54
Typical High
$41.69

Where Utah 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.

Utah· 21st of 51

$34.67

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.