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Lower Extremity and Humerus Procedures (with MCC)

Idaho rates for MS-DRG 492

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur with MCC

Rates data updated July 2026.

How much does Lower Extremity and Humerus Procedures (with MCC) cost?

$51,286

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $51,286 for this service. Most negotiated rates run $38,905 to $69,183.

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 $51,286 · 10th to 90th $32,359 to $89,125
$20.0K$50.0K$100.0Kfacility $51,286

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
$32,359.37
Median
$32,359.37
Typical High
$57,543.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$46,773.51
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89,125.09
Median
$97,723.72
Typical High
$123,026.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$60,255.96
Typical High
$72,443.60
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$50,118.72
Typical High
$74,131.02
Select Health
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$46,773.51
Typical High
$74,131.02
United
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$51,286.14
Typical High
$97,723.72

Where Idaho sits

The same service costs 4.5 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $51,286 · 31st of 51
NY $95,499MI $21,380

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.