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Diabetic Shoe Modification, Wedge

Nevada 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?

$32.36

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $39.81 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$30.90$25.70 to $39.81
FacilityA hospital or hospital-owned outpatient department$39.81$39.81 to $39.81

How much rates vary

Facilitymedian $40 · 10th to 90th $29 to $46Professionalmedian $31 · 10th to 90th $19 to $65
$20$50$100facility $40professional $31

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
$39.81
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.11
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$47.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$28.84
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$21.38
Typical High
$28.84
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$45.71
Typical High
$77.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.91
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$25.70
Typical High
$50.12

Where Nevada 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.

Nevada· 20th of 51

$32.36

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.