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Major Shoulder or Elbow Joint Procedures (without CC/MCC)

Idaho rates for MS-DRG 508

Major Shoulder or Elbow Joint Procedures without CC/MCC

Rates data updated July 2026.

How much does Major Shoulder or Elbow Joint Procedures (without CC/MCC) cost?

$20,893

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $20,893 for this service. Most negotiated rates run $15,488 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 $20,893 · 10th to 90th $13,183 to $36,308
$10K$20K$50Kfacility $20,893

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
$13,182.57
Median
$13,182.57
Typical High
$23,988.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$19,952.62
Typical High
$32,359.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$39,810.72
Typical High
$50,118.72
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$26,915.35
Typical High
$30,199.52
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$19,054.61
Typical High
$30,199.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$16,982.44
Typical High
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$21,379.62
Typical High
$63,095.73

Where Idaho sits

The same service costs 3.9 times more in California 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· 32nd of 51

$20,893

CA $47,863NM $12,303

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.