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Diabetic Shoe Modification, Wedge

Iowa 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?

$36.31

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $38.02 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$36.31$27.54 to $39.81
FacilityA hospital or hospital-owned outpatient department$38.02$28.84 to $50.12

How much rates vary

Facilitymedian $38 · 10th to 90th $26 to $112Professionalmedian $36 · 10th to 90th $22 to $59
$20$50$100$200facility $38professional $36

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
$26.92
Median
$30.90
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$36.31
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$66.07
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$54.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$50.12
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$29.51
Typical High
$77.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$63.10
Midlands
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Midlands
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$29.51
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$22.39
Typical High
$45.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$44.67

Where Iowa 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.

Iowa· 13th of 51

$36.31

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.