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 October 2026.

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

$25.70

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $35.48 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$25.70$23.44 to $38.90
FacilityA hospital or hospital-owned outpatient department$35.48$21.88 to $53.70

How much rates vary

Facilitymedian $35 · 10th to 90th $22 to $54Professionalmedian $26 · 10th to 90th $22 to $50
$20$50facility $35professional $26

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
$21.88
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$25.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$38.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$35.48
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$53.70
Typical High
$81.28
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Select Health
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Select Health
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$54.95
Typical High
$54.95
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$52.48
Typical High
$77.62
United
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$24.55
Typical High
$47.86

Where Utah 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.

Utah· 51st of 51

$25.70

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.