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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

South Dakota 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?

$53.70

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $63.10 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$53.70$37.15 to $58.88
FacilityA hospital or hospital-owned outpatient department$63.10$39.81 to $63.10

How much rates vary

Facilitymedian $63 · 10th to 90th $40 to $102Professionalmedian $54 · 10th to 90th $22 to $71
$20$50$100$200facility $63professional $54

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$37.15
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$60.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$63.10
Typical High
$77.62
Medica
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$63.10
Typical High
$102.33
Medica
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$34.67
Typical High
$269.15
Midlands
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Midlands
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Midlands
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$66.07
United
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$27.54
Typical High
$44.67
Wellmark
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70

Where South Dakota 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.

South Dakota· 5th of 51

$53.70

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.