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

Illinois 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 July 2026.

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

$57.54

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $91.20 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$56.23$46.77 to $70.79
FacilityA hospital or hospital-owned outpatient department$91.20$50.12 to $182

How much rates vary

Facilitymedian $91 · 10th to 90th $50 to $457Professionalmedian $56 · 10th to 90th $29 to $91
$50$100$200$500$1Kfacility $91professional $56

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
$50.12
Median
$50.12
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$50.12
Typical High
$91.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$97.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$169.82
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$77.62

Where Illinois sits

The same service costs 2.1 times more in Hawaii 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.

Illinois· 28th of 51

$57.54

HI $91.20CO $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.