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Diabetic Shoe Modification, Metatarsal Bar

Kentucky 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?

$25.12

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $26.92 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$25.12$21.38 to $28.84
FacilityA hospital or hospital-owned outpatient department$26.92$23.44 to $45.71

How much rates vary

Facilitymedian $27 · 10th to 90th $22 to $62Professionalmedian $25 · 10th to 90th $18 to $39
$20$50$100facility $27professional $25

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
$23.44
Median
$23.44
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$27.54
Typical High
$38.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.12
Typical High
$28.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$61.66
Typical High
$79.43
CareSource
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$33.88
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$26.30
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$21.38
Typical High
$33.88

Where Kentucky 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.

Kentucky· 49th of 51

$25.12

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.