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Diabetic Depth-Inlay Shoe, Off-the-Shelf, with Fitting

Alaska rates for HCPCS A5500

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multidensity insert(s), per shoe

Rates data updated October 2026.

How much does Diabetic Depth-Inlay Shoe, Off-the-Shelf, with Fitting cost?

$87.10

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $87.10 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$87.10$70.79 to $87.10
FacilityA hospital or hospital-owned outpatient department$87.10$63.10 to $87.10

How much rates vary

Facilitymedian $87 · 10th to 90th $59 to $91Professionalmedian $87 · 10th to 90th $44 to $98
$50$100$200facility $87professional $87

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$97.72
Moda Health
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$87.10
Typical High
$87.10
Moda Health
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$87.10
Typical High
$91.20
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$91.20
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$87.10
Typical High
$89.13
Providence
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$63.10
Typical High
$120.23
Providence
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$60.26
Typical High
$97.72
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$64.57
Typical High
$218.78

Where Alaska sits

The same service costs 2.2 times more in Idaho than in Colorado. 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.

Alaska· 7th of 51

$87.10

ID $95.50CO $43.65

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.