go back

Unclassified Diabetic Shoe Modification

North Carolina rates for HCPCS A5507

For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe

Rates data updated July 2026.

How much does Unclassified Diabetic Shoe Modification cost?

$36.31

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $39.81 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 6 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$36.31$30.90 to $39.81
FacilityA hospital or hospital-owned outpatient department$39.81$29.51 to $47.86

How much rates vary

Facilitymedian $40 · 10th to 90th $21 to $78Professionalmedian $36 · 10th to 90th $22 to $40
$20$50$100$200facility $40professional $36

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
$39.81
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$39.81
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$43.65
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$30.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.95
Typical High
$26.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$39.81
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$36.31
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.89
Typical High
$33.88
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$338.84

Where North Carolina sits

The same service costs 2.2 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 Carolina· 13th of 51

$36.31

KS $46.77CO $21.38

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.