go back

Lower Extremity and Humerus Procedures (with CC)

Utah rates for MS-DRG 493

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

Rates data updated July 2026.

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

$41,687

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $41,687 for this service. Most negotiated rates run $34,674 to $51,286.

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 $41,687 · 10th to 90th $27,542 to $63,096
$10K$20K$50Kfacility $41,687

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
$33,884.42
Median
$44,668.36
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$53,703.18
Typical High
$74,131.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$40,738.03
Typical High
$53,703.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$20,892.96
Typical High
$66,069.34
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$23,988.33
Typical High
$41,686.94

Where Utah sits

The same service costs 3.2 times more in New York 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.

Utah· 21st of 51

$41,687

NY $66,069NM $20,417

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.