Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A5501 Fee Schedule
HCPCS A5501 is classified under Medical And Surgical Supplies, in the Diabetic Footwear subgroup.
For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Diabetic Footwear |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $227.83 median of the 7 states in the free preview · View Medicaid rates for A5501 |
National average reimbursement for HCPCS A5501 by major payers:
$223.43
BCBS / Anthem
$145.77
UnitedHealthcare
$174.52
Aetna
$219.38
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A5501.
HCPCS A5501
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$487.45Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$221.57Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$150.19Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$120.70Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$90.12Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A5501 vs. Other Diabetic Footwear Codes
The table lists codes related to A5501. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5500-HCPCS | Low | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi- density insert(s), per shoe |
| A5501-HCPCS | Moderate | For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe |
| A5503-HCPCS | Low | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5501. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5501 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A5501) and we'll show you how you compare in 15 minutes or less.