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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 October 2026.

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

$57.54

Typical negotiated rate. In Missouri, 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 $89.13 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$44.67 to $63.10
FacilityA hospital or hospital-owned outpatient department$89.13$58.88 to $417

How much rates vary

Facilitymedian $89 · 10th to 90th $48 to $417Professionalmedian $58 · 10th to 90th $41 to $89
$50$100$200$500facility $89professional $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
$38.02
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$53.70
Typical High
$89.13
Ambetter
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$67.61
Typical High
$123.03
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$63.10
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$38.02
Median
$43.65
Typical High
$63.10
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$91.20
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
$43.65
Typical High
$58.88
Medica
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$89.13
Typical High
$416.87
Medica
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$44.67
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$44.67
Typical High
$67.61
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$5.75
Median
$5.75
Typical High
$6.31

Where Missouri 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.

Missouri· 30th 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.