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Inborn and Other Disorders of Metabolism

Idaho rates for MS-DRG 642

Inborn and Other Disorders of Metabolism

Rates data updated July 2026.

How much does Inborn and Other Disorders of Metabolism cost?

$19,498

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $14,454 to $26,915.

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 $19,498 · 10th to 90th $12,303 to $29,512
$10K$20K$50Kfacility $19,498

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
$12,589.25
Median
$12,589.25
Typical High
$22,387.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,498.45
Typical High
$30,902.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$38,018.94
Typical High
$47,863.01
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$25,118.86
Typical High
$28,840.32
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$17,782.79
Typical High
$28,183.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$16,218.10
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$18,620.87
Typical High
$26,915.35

Where Idaho sits

The same service costs 4.4 times more in Montana than in Mississippi. 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

$19,498

MT $48,978MS $11,220

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.