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Other Ear, Nose, Mouth and Throat Diagnoses (with MCC)

Idaho rates for MS-DRG 154

Other Ear, Nose, Mouth and Throat Diagnoses with MCC

Rates data updated July 2026.

How much does Other Ear, Nose, Mouth and Throat Diagnoses (with MCC) cost?

$22,387

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $22,387 for this service. Most negotiated rates run $16,596 to $28,840.

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.

How much rates vary

Facilitymedian $22,387 · 10th to 90th $13,804 to $34,674
$10K$20K$50Kfacility $22,387

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
$13,803.84
Median
$13,803.84
Typical High
$24,547.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$20,417.38
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$41,686.94
Typical High
$52,480.75
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$27,542.29
Typical High
$32,359.37
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$22,387.21
Typical High
$33,113.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$21,379.62
Typical High
$34,673.69
United
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$20,417.38
Typical High
$29,512.09

Where Idaho sits

The same service costs 5.8 times more in Montana than in New Mexico. 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· 29th of 51

$22,387

MT $72,444NM $12,589

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.