go back

Unlisted Bone Or Muscle Procedure Of The Head

Idaho rates for HCPCS 21499

An operation on the bones, muscles, or supporting soft tissues of the head that has no standard named entry of its own. The surgeon submits a written report describing exactly what was performed so the service can be reviewed.

Rates data updated October 2026.

How much does Unlisted Bone Or Muscle Procedure Of The Head cost?

$363

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $380 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$30.20 to $229
FacilityA hospital or hospital-owned outpatient department$380$251 to $589

How much rates vary

Facilitymedian $380 · 10th to 90th $145 to $955Professionalmedian $30 · 10th to 90th $30 to $692
$50$200$1K$5Kfacility $380professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$4,466.84
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$371.54
Typical High
$741.31
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$239.88
Typical High
$371.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$1,380.38
Typical High
$12,589.25
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$4,466.84
Typical High
$5,495.41
Moda Health
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,230.27
Typical High
$4,466.84
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$588.84
Typical High
$794.33
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$112.20
Select Health
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$371.54
Typical High
$575.44
United
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$363.08
Typical High
$501.19

Where Idaho sits

The same service costs 55.0 times more in Alabama than in Montana. 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.

Idaho· 38th of 51

$363

AL $4,365MT $79.43

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.