A podiatrist visit costs $150 to $400 without insurance for an initial consultation. Follow-up visits run $75-$200. With insurance, your copay is typically $20-$60. Additional costs depend on treatment needed -- custom orthotics cost $200-$600, X-rays add $50-$150, and in-office procedures range from $100 to $500.
Common Podiatry Costs
- Initial consultation and exam: $150-$400
- Follow-up visit: $75-$200
- X-rays: $50-$150 per set
- Custom orthotics: $200-$600 per pair
- Ingrown toenail removal: $100-$500
- Cortisone injection: $100-$300
- Bunion surgery: $3,500-$12,000 (facility and anesthesia fees additional)
- Plantar fasciitis treatment course: $500-$2,000 total
Insurance and Medicare Coverage
Most insurance plans cover podiatric care with the same benefits as other medical specialists. Key coverage details:
- Medicare Part B: Covers podiatric services for foot injuries, diseases, and diabetic foot care. Does not cover routine foot care (callus removal, toenail trimming) unless you have a qualifying condition
- Private insurance: Typically covers diagnostic visits, medically necessary treatments, and surgery with standard specialist copays
- Orthotics: Coverage varies widely -- some plans cover custom orthotics with prior authorization, others do not
- Diabetic shoes: Medicare covers one pair of therapeutic shoes and inserts per year for qualifying diabetic patients
Saving on Podiatry Costs
- Ask if the office offers a cash-pay discount (many offer 10-20% off)
- Get a pre-authorization for orthotics before ordering
- Consider over-the-counter insoles before investing in custom orthotics
- Address foot problems early -- delaying treatment often leads to more expensive interventions
FAQ
Are custom orthotics worth the cost?
For conditions like plantar fasciitis, flat feet, and diabetic foot problems, custom orthotics can be a cost-effective long-term solution. They last 2-5 years and can prevent more expensive treatments down the line. Over-the-counter insoles may be sufficient for mild discomfort.
Do I need a referral for a podiatrist?
Most PPO plans allow direct access. HMO plans typically require a referral from your primary care physician. Medicare does not require a referral for podiatric services.
What should I bring to my first podiatrist visit?
Bring your insurance card, a list of medications, your most-worn shoes (the wear pattern provides diagnostic information), and any previous X-rays or medical records related to your foot condition.
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