go back

Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Utah 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 July 2026.

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

$36.31

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $28.18 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$36.31$23.44 to $57.54
FacilityA hospital or hospital-owned outpatient department$28.18$21.88 to $53.70

How much rates vary

Facilitymedian $28 · 10th to 90th $22 to $54Professionalmedian $36 · 10th to 90th $19 to $234
$20$50$100$200facility $28professional $36

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
$21.88
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$34.67
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$36.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$53.70
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$60.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Select Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$53.70
Typical High
$54.95
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$38.02
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$24.55
Typical High
$41.69

Where Utah sits

The same service costs 2.0 times more in Hawaii than in Colorado. 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.

Utah· 31st of 51

$36.31

HI $54.95CO $26.92

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.