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Lower Extremity and Humerus Procedures (without CC/MCC)

Idaho rates for MS-DRG 494

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur without CC/MCC

Rates data updated July 2026.

How much does Lower Extremity and Humerus Procedures (without CC/MCC) cost?

$28,184

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $28,184 for this service. Most negotiated rates run $20,417 to $34,674.

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 $28,184 · 10th to 90th $16,982 to $41,687
$10.0K$20.0K$50.0Kfacility $28,184

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
$17,782.79
Median
$17,782.79
Typical High
$31,622.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$22,387.21
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$53,703.18
Typical High
$66,069.34
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$34,673.69
Typical High
$39,810.72
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$26,915.35
Typical High
$40,738.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$25,118.86
Typical High
$39,810.72
United
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$28,183.83
Typical High
$41,686.94

Where Idaho sits

The same service costs 3.0 times more in Colorado than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $28,184 · 31st of 51
CO $48,978NM $16,218

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.