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

Maine 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 Maine, July 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 $105 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 6 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$57.54$38.90 to $77.62
FacilityA hospital or hospital-owned outpatient department$105$67.61 to $105

How much rates vary

Facilitymedian $105 · 10th to 90th $59 to $112Professionalmedian $58 · 10th to 90th $29 to $78
$50$100$200facility $105professional $58

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$38.90
Typical High
$63.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$58.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$93.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$30.20
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$63.10
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$77.62
Typical High
$77.62

Where Maine 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.

Maine· 31st 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.