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

North Carolina 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?

$67.61

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $77.62 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$67.61$43.65 to $77.62
FacilityA hospital or hospital-owned outpatient department$77.62$63.10 to $100

How much rates vary

Facilitymedian $78 · 10th to 90th $46 to $170Professionalmedian $68 · 10th to 90th $28 to $78
$50$100$200facility $78professional $68

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
$77.62
Median
$77.62
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$67.61
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$63.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$44.67
Typical High
$58.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$77.62
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$67.61
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$660.69

Where North Carolina 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.

North Carolina· 12th of 51

$67.61

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.