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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Alabama rates for HCPCS A5514

For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of Shore A 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each

Rates data updated October 2026.

How much does Diabetic Custom Insert, Multiple Density, CAD/CAM Carved cost?

$26.92

Typical negotiated rate. In Alabama, October 2026.

Insurers have agreed to pay about $26.92 for this service. Most negotiated rates run $25.70 to $43.65.

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.

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $35Professionalmedian $27 · 10th to 90th $20 to $44
$20$50facility $35professional $27

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
Professional
Modifier
None
Typical Low
$33.88
Median
$43.65
Typical High
$43.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$35.48
United
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$26.30
Typical High
$37.15
5 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
BCBS Alabama
Setting
Professional
Modifier
12 + 21 + 22 · Increased work + 31 + 32 · Mandated service + 41 + 52 · Reduced service + 93 · Audio-only telehealth
Typical Low
$43.65
Median
$43.65
Typical High
$43.65

Where Alabama sits

The same service costs 2.2 times more in Hawaii than in Utah. 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.

Alabama· 48th of 51

$26.92

HI $57.54UT $25.70

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.