go back

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

New Jersey 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?

$53.70

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $43.65 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$53.70$38.90 to $77.62
FacilityA hospital or hospital-owned outpatient department$43.65$43.65 to $58.88

How much rates vary

Facilitymedian $44 · 10th to 90th $44 to $91Professionalmedian $54 · 10th to 90th $29 to $89
$50$100$200facility $44professional $54

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
$43.65
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$43.65
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$58.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$117.49
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$66.07
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$54.95
Typical High
$87.10

Where New Jersey 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.

New Jersey· 43rd of 51

$53.70

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.