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Diabetic Shoe Modification, Metatarsal Bar

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $22.39 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$32.36$20.89 to $50.12
FacilityA hospital or hospital-owned outpatient department$22.39$11.48 to $45.71

How much rates vary

Facilitymedian $22 · 10th to 90th $11 to $46Professionalmedian $32 · 10th to 90th $11 to $195
$20$50$100facility $22professional $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
$11.48
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$29.51
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
$29.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.90
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$45.71
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$32.36
Typical High
$50.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$45.71
Typical High
$45.71
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$45.71
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$22.91
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.05
Typical High
$30.90

Where Utah 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.

Utah· 20th 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.