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Unclassified Diabetic Shoe Modification

Rhode Island 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?

$23.44

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $79.43 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 4 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$23.44$19.05 to $28.18
FacilityA hospital or hospital-owned outpatient department$79.43$63.10 to $95.50

How much rates vary

Facilitymedian $79 · 10th to 90th $29 to $105Professionalmedian $23 · 10th to 90th $18 to $35
$20$50$100$200facility $79professional $23

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.05
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$39.81
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
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$25.70
Typical High
$35.48

Where Rhode Island 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.

Rhode Island· 50th of 51

$23.44

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.