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Diabetic Shoe Modification, Metatarsal Bar

Michigan 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?

$32.36

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $34.67 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 7 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$31.62$23.44 to $45.71
FacilityA hospital or hospital-owned outpatient department$34.67$30.90 to $34.67

How much rates vary

Facilitymedian $35 · 10th to 90th $26 to $46Professionalmedian $32 · 10th to 90th $18 to $46
$20$50$100facility $35professional $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
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$28.18
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$47.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
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
$23.44
Typical High
$28.18
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$83.18
Typical High
$93.33
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$36.31
Typical High
$54.95
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.89
Typical High
$30.90

Where Michigan 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.

Michigan· 19th of 51

$32.36

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.