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

Nebraska 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?

$67.61

Typical negotiated rate. In Nebraska, October 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 $100 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$44.67 to $97.72
FacilityA hospital or hospital-owned outpatient department$100$89.13 to $100

How much rates vary

Facilitymedian $100 · 10th to 90th $72 to $417Professionalmedian $68 · 10th to 90th $35 to $123
$50$100$200$500facility $100professional $68

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
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$89.13
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$67.61
Typical High
$67.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$102.33
Typical High
$190.55
Medica
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$97.72
Typical High
$416.87
Medica
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$44.67
Typical High
$87.10
Midlands
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$190.55
Midlands
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Midlands
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$190.55
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$44.67
Typical High
$67.61

Where Nebraska 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.

Nebraska· 17th of 51

$67.61

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.