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

Utah 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?

$43.65

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $58.88 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$43.65$36.31 to $63.10
FacilityA hospital or hospital-owned outpatient department$58.88$25.70 to $89.13

How much rates vary

Facilitymedian $59 · 10th to 90th $26 to $89Professionalmedian $44 · 10th to 90th $26 to $78
$50$100facility $59professional $44

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
$25.70
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$33.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$58.88
Molina
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$60.26
Typical High
$81.28
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$89.13
Typical High
$134.90
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Select Health
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Select Health
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$91.20
Typical High
$91.20
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$74.13
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$39.81
Typical High
$70.79

Where Utah 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.

Utah· 50th of 51

$43.65

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.