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Lower Extremity and Humerus Procedures (with MCC)

Utah rates for MS-DRG 492

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur with MCC

Rates data updated July 2026.

How much does Lower Extremity and Humerus Procedures (with MCC) cost?

$60,256

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $60,256 for this service. Most negotiated rates run $50,119 to $74,131.

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 $60,256 · 10th to 90th $40,738 to $89,125
$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $60,256

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
$48,977.88
Median
$64,565.42
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$77,624.71
Typical High
$107,151.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$60,255.96
Typical High
$75,857.76
Select Health
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$30,199.52
Typical High
$93,325.43
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$35,481.34
Typical High
$60,255.96

Where Utah sits

The same service costs 4.5 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $60,256 · 19th of 51
NY $95,499MI $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.