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Diabetic Shoe Modification, Metatarsal Bar

North Dakota 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?

$41.69

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $30.90 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 5 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$42.66$30.90 to $50.12
FacilityA hospital or hospital-owned outpatient department$30.90$28.84 to $30.90

How much rates vary

Facilitymedian $31 · 10th to 90th $29 to $52Professionalmedian $43 · 10th to 90th $19 to $55
$20$50$100$200facility $31professional $43

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
$28.84
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$28.84
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$50.12
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$52.48
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$30.90
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$21.38
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$30.20
Typical High
$52.48

Where North Dakota 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.

North Dakota· 6th of 51

$41.69

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.