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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Virginia 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?

$34.67

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $54.95 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 8 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$33.11$30.90 to $39.81
FacilityA hospital or hospital-owned outpatient department$54.95$43.65 to $54.95

How much rates vary

Facilitymedian $55 · 10th to 90th $33 to $72Professionalmedian $33 · 10th to 90th $26 to $55
$20$100$500$2K$10Kfacility $55professional $33

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
$33.11
Median
$33.11
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$33.11
Typical High
$40.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$64.57
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$38.02
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
$25.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$72.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$38.90
Typical High
$63.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Sentara
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$50.12
Typical High
$162.18
Sentara
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$50.12
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$27.54
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$26.92
Typical High
$45.71

Where Virginia 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.

Virginia· 36th of 51

$34.67

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.