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Orthopedic Shoe Addition, Sole, Full

Virginia rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Rates data updated July 2026.

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

$32.36

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $61.66 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$32.36$29.51 to $39.81
FacilityA hospital or hospital-owned outpatient department$61.66$39.81 to $61.66

How much rates vary

Facilitymedian $62 · 10th to 90th $30 to $76Professionalmedian $32 · 10th to 90th $25 to $58
$20$100$500$2K$10Kfacility $62professional $32

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
$24.55
Median
$29.51
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$67.61
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$85.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$39.81
Typical High
$60.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$39.81
Typical High
$70.79
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$37.15
Typical High
$75.86
Sentara
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$177.83
Sentara
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$26.92
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$30.20
Typical High
$47.86

Where Virginia 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.

Virginia· 33rd of 51

$32.36

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.