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Unclassified Diabetic Shoe Modification

Oregon 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?

$34.67

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $44.67 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 8 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$33.11$22.39 to $44.67
FacilityA hospital or hospital-owned outpatient department$44.67$34.67 to $45.71

How much rates vary

Facilitymedian $45 · 10th to 90th $34 to $46Professionalmedian $33 · 10th to 90th $14 to $50
$20$50$100facility $45professional $33

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
Professional
Modifier
Global
Typical Low
$13.49
Median
$22.91
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$91.20
Typical High
$104.71
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$33.11
Typical High
$46.77
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$34.67
Typical High
$48.98
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$45.71
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$45.71
Typical High
$45.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$38.02
Typical High
$52.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$42.66
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$46.77
Typical High
$173.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$30.90
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.05
Typical High
$37.15

Where Oregon 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.

Oregon· 16th of 51

$34.67

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.