go back

Diabetic Shoe Modification, Wedge

Georgia rates for HCPCS A5504

For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with wedge(s), per shoe

Rates data updated July 2026.

How much does Diabetic Shoe Modification, Wedge cost?

$29.51

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $45.71 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 6 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$29.51$25.70 to $35.48
FacilityA hospital or hospital-owned outpatient department$45.71$28.18 to $138

How much rates vary

Facilitymedian $46 · 10th to 90th $28 to $170Professionalmedian $30 · 10th to 90th $21 to $40
$20$50$100facility $46professional $30

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
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$28.18
Typical High
$39.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$138.04
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$54.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$54.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$30.90
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$21.38
Typical High
$44.67

Where Georgia sits

The same service costs 2.2 times more in Kansas 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.

Georgia· 27th of 51

$29.51

KS $46.77CO $21.38

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.