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Diabetic Shoe Modification, Metatarsal Bar

Idaho 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?

$33.88

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $43.65 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 8 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$32.36$25.12 to $50.12
FacilityA hospital or hospital-owned outpatient department$43.65$33.88 to $45.71

How much rates vary

Facilitymedian $44 · 10th to 90th $23 to $63Professionalmedian $32 · 10th to 90th $13 to $62
$20$50$100facility $44professional $32

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
$30.90
Typical High
$61.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$42.66
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$29.51
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$43.65
Typical High
$61.66
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$43.65
Typical High
$45.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$32.36
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$44.67
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$50.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$45.71
Typical High
$63.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$29.51
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.05
Typical High
$33.88

Where Idaho 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.

Idaho· 17th of 51

$33.88

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.