go back

Diabetic Shoe Modification, Metatarsal Bar

Delaware 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?

$27.54

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $27.54 for this service. Most negotiated rates run $22.39 to $35.48.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28 · 10th to 90th $23 to $30Professionalmedian $28 · 10th to 90th $21 to $174
$20$50$100facility $28professional $28

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
Professional
Modifier
Global
Typical Low
$22.39
Median
$27.54
Typical High
$173.78
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
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$21.38
Typical High
$29.51

Where Delaware 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.

Delaware· 42nd of 51

$27.54

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.