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Bilateral or Multiple Major Joint Procedures (with MCC)

Utah rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Rates data updated July 2026.

How much does Bilateral or Multiple Major Joint Procedures (with MCC) cost?

$91,201

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $91,201 for this service. Most negotiated rates run $75,858 to $107,152.

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 $91,201 · 10th to 90th $61,660 to $112,202
$50K$100Kfacility $91,201

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
$74,131.02
Median
$93,325.43
Typical High
$109,647.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81,283.05
Median
$117,489.76
Typical High
$162,181.01
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$91,201.08
Typical High
$112,201.85
Select Health
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$51,286.14
Typical High
$97,723.72
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$69,183.10
Typical High
$91,201.08

Where Utah sits

The same service costs 7.1 times more in Alaska than in Michigan. 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· 18th of 51

$91,201

AK $151,356MI $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.