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Lower Extremity and Humerus Procedures (without CC/MCC)

Utah rates for MS-DRG 494

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur without CC/MCC

Rates data updated October 2026.

How much does Lower Extremity and Humerus Procedures (without CC/MCC) cost?

$33,113

Typical facility fee. In Utah, October 2026.

Insurers have agreed to pay about $33,113 for this service. Most negotiated rates run $25,704 to $42,658.

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 $33,113 · 10th to 90th $16,596 to $51,286
$5K$10K$20K$50K$100K$200Kfacility $33,113

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
$28,840.32
Median
$38,018.94
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$44,668.36
Typical High
$58,884.37
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$30,902.95
Typical High
$40,738.03
Select Health
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$16,595.87
Typical High
$43,651.58
United
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$33,884.42
Typical High
$34,673.69

Where Utah sits

The same service costs 195.0 times more in Alaska 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· 19th of 51

$33,113

AK $53,703HI $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.