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Diabetic Multiple-Density Insert, Formed without Heat

Pennsylvania 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 July 2026.

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

$25.12

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $33.11 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$25.12$25.12 to $25.12
FacilityA hospital or hospital-owned outpatient department$33.11$25.12 to $166

How much rates vary

Facilitymedian $33 · 10th to 90th $25 to $234Professionalmedian $25 · 10th to 90th $25 to $25
$100$1K$10Kfacility $33professional $25

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
$25.12
Median
$25.12
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$31.62
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$257.04
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$89.13

Where Pennsylvania sits

The same service costs 10.2 times more in Kansas than in Hawaii. 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.

Pennsylvania· 27th of 51

$25.12

KS $158HI $15.49

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.