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

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $89.13 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$54.95$43.65 to $72.44
FacilityA hospital or hospital-owned outpatient department$89.13$63.10 to $91.20

How much rates vary

Facilitymedian $89 · 10th to 90th $42 to $200Professionalmedian $55 · 10th to 90th $30 to $98
$50$100$200facility $89professional $55

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
$38.02
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$51.29
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$58.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$44.67
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$79.43

Where Missouri 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.

Missouri· 32nd 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.