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

Idaho 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?

$95.50

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$63.10 to $112
FacilityA hospital or hospital-owned outpatient department$87.10$75.86 to $112

How much rates vary

Facilitymedian $87 · 10th to 90th $58 to $145Professionalmedian $95 · 10th to 90th $40 to $120
$10$50$200$1K$5Kfacility $87professional $95

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$120.23
Typical High
$120.23
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$87.10
Typical High
$141.25
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$95.50
Typical High
$100.00
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$58.88
Median
$66.07
Typical High
$69.18
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
$58.88
Moda Health
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$87.10
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$95.50
Typical High
$120.23
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$63.10
Typical High
$64.57
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$112.20
Typical High
$5,495.41
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$112.20
Typical High
$6,309.57
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$87.10
Typical High
$128.82
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$95.50
Select Health
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$109.65
Select Health
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$91.20
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$39.81
Typical High
$67.61

Where Idaho 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.

Idaho· 1st of 51

$95.50

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.