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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Tennessee 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?

$34.67

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $34.67 for this service. Most negotiated rates run $26.30 to $41.69.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $37Professionalmedian $33 · 10th to 90th $26 to $275
$20$50$100$200facility $35professional $33

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
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$33.11
Typical High
$46.77
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.13
Median
$16.60
Typical High
$23.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.62
Median
$6.61
Typical High
$9.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.17
Median
$5.01
Typical High
$7.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.82
Median
$3.31
Typical High
$4.68
Ambetter
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$54.95
Typical High
$54.95
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$37.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$35.48
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$26.30
Typical High
$34.67

Where Tennessee 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.

Tennessee· 31st of 51

$34.67

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.