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Diabetic Multiple-Density Insert, Formed without Heat

New York rates for HCPCS A5510

For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe

Rates data updated October 2026.

How much does Diabetic Multiple-Density Insert, Formed without Heat cost?

$229

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $33.11 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$229$204 to $257
FacilityA hospital or hospital-owned outpatient department$33.11$33.11 to $47.86

How much rates vary

Facilitymedian $33 · 10th to 90th $33 to $49Professionalmedian $229 · 10th to 90th $25 to $269
$50$100$200$500facility $33professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$239.88
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Univera
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$48.98
Univera
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86

Where New York sits

The same service costs 380.2 times more in New York than in South Dakota. 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.

New York· 1st of 51

$229

NY $229SD $0.60

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.