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Diabetic Shoe Modification, Metatarsal Bar

Tennessee 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?

$28.18

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $36.31 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$27.54$22.91 to $34.67
FacilityA hospital or hospital-owned outpatient department$36.31$26.30 to $219

How much rates vary

Facilitymedian $36 · 10th to 90th $23 to $219Professionalmedian $28 · 10th to 90th $19 to $40
$20$50$100$200facility $36professional $28

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
$22.91
Median
$25.70
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$28.18
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$30.90
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.42
Typical High
$30.90

Where Tennessee 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.

Tennessee· 36th of 51

$28.18

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.