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Upper Limb and Toe Amputation, Circulatory (without CC/MCC)

Utah rates for MS-DRG 257

Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC

Rates data updated October 2026.

How much does Upper Limb and Toe Amputation, Circulatory (without CC/MCC) cost?

$18,197

Typical facility fee. In Utah, October 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $13,490 to $24,547.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $18,197 · 10th to 90th $8,511 to $32,359
$5K$10K$20K$50K$100K$200Kfacility $18,197

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$20,892.96
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$24,547.09
Typical High
$32,359.37
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$16,982.44
Typical High
$23,988.33
Select Health
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$8,912.51
Typical High
$32,359.37
United
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$10,000.00
Typical High
$18,197.01

Where Utah sits

The same service costs 102.3 times more in Vermont than in Hawaii. 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.

Utah· 23rd of 51

$18,197

VT $28,184HI $275

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.