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Diabetic Shoe Modification, Metatarsal Bar

New Mexico 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?

$26.92

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $30.20 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$26.92$19.05 to $33.11
FacilityA hospital or hospital-owned outpatient department$30.20$25.12 to $34.67

How much rates vary

Facilitymedian $30 · 10th to 90th $11 to $48Professionalmedian $27 · 10th to 90th $13 to $68
$20$50$100facility $30professional $27

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
$33.11
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$32.36
Typical High
$194.98
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
$66.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$67.61
Providence
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$28.84
Typical High
$50.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$33.88
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.05
Typical High
$26.92

Where New Mexico 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.

New Mexico· 47th of 51

$26.92

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.