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Diabetic Shoe Modification, Metatarsal Bar

Washington, DC 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?

$30.90

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $30.90 for this service. Most negotiated rates run $21.88 to $30.90.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $31 · 10th to 90th $31 to $31Professionalmedian $30 · 10th to 90th $22 to $31
$20$50facility $31professional $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. 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
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$30.90
Typical High
$30.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$31.62
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
$29.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$21.38
Typical High
$36.31

Where Washington, DC 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.

Washington, DC· 24th of 51

$30.90

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.