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

Michigan 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?

$54.95

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $117 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 8 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$53.70$30.20 to $67.61
FacilityA hospital or hospital-owned outpatient department$117$67.61 to $117

How much rates vary

Facilitymedian $117 · 10th to 90th $63 to $117Professionalmedian $54 · 10th to 90th $28 to $89
$50$100facility $117professional $54

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
$67.61
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$43.65
Typical High
$67.61
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$89.13
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$93.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$107.15
Typical High
$169.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$52.48
Typical High
$61.66
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$169.82
Typical High
$190.55
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$70.79
Typical High
$109.65
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$63.10
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$42.66
Typical High
$66.07

Where Michigan 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.

Michigan· 37th of 51

$54.95

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.