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

Indiana 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?

$57.54

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $81.28 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$56.23 to $75.86
FacilityA hospital or hospital-owned outpatient department$81.28$70.79 to $91.20

How much rates vary

Facilitymedian $81 · 10th to 90th $59 to $224Professionalmedian $58 · 10th to 90th $44 to $91
$50$100$200$500$1K$2Kfacility $81professional $58

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
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$75.86
Typical High
$75.86
Ambetter
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$81.28
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$91.20
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$5.75
Median
$5.75
Typical High
$8.13
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$43.65
Median
$43.65
Typical High
$60.26
CareSource
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$128.82
Typical High
$131.83
CareSource
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$114.82
Typical High
$123.03
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
$58.88
Typical High
$436.52
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$288.40
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$72.44
Typical High
$128.82
United
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$44.67
Typical High
$74.13

Where Indiana 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.

Indiana· 31st of 51

$57.54

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.