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Diabetic Shoe Modification, Metatarsal Bar

Alaska rates for HCPCS A5505

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

Rates data updated July 2026.

How much does Diabetic Shoe Modification, Metatarsal Bar cost?

$38.90

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $22.39 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$42.66$19.50 to $45.71
FacilityA hospital or hospital-owned outpatient department$22.39$11.48 to $43.65

How much rates vary

Facilitymedian $22 · 10th to 90th $11 to $46Professionalmedian $43 · 10th to 90th $13 to $69
$20$50$100facility $22professional $43

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
Professional
Modifier
Global
Typical Low
$13.49
Median
$34.67
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$50.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$25.12
Typical High
$45.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$45.71
Typical High
$147.91
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$44.67
Typical High
$45.71
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$45.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$45.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$32.36
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.91
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$34.67
Typical High
$97.72

Where Alaska sits

The same service costs 2.3 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.

Alaska· 10th of 51

$38.90

KS $48.98CO $20.89

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.