go back

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

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $87.10 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$36.31$27.54 to $87.10
FacilityA hospital or hospital-owned outpatient department$87.10$69.18 to $93.33

How much rates vary

Facilitymedian $87 · 10th to 90th $59 to $110Professionalmedian $36 · 10th to 90th $28 to $87
$50$100$200facility $87professional $36

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
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$93.33
Typical High
$93.33
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$169.82
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$169.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$83.18
Typical High
$107.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$39.81
Typical High
$63.10

Where Montana 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.

Montana· 39th 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.