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

South Dakota 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?

$89.13

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $102 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$89.13$63.10 to $97.72
FacilityA hospital or hospital-owned outpatient department$102$64.57 to $102

How much rates vary

Facilitymedian $102 · 10th to 90th $60 to $166Professionalmedian $89 · 10th to 90th $35 to $117
$50$100$200$500facility $102professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$60.26
Typical High
$66.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$102.33
Typical High
$128.82
Medica
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$102.33
Typical High
$165.96
Medica
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$63.10
Typical High
$446.68
Midlands
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Midlands
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Midlands
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$158.49
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$89.13
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$63.10
Typical High
$74.13
Wellmark
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13

Where South Dakota 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.

South Dakota· 3rd of 51

$89.13

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.