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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 July 2026.

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

$33,113

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $33,113 for this service. Most negotiated rates run $27,542 to $39,811.

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 $22,387 to $43,652
$10K$20K$50Kfacility $33,113

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
$26,915.35
Median
$34,673.69
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$42,657.95
Typical High
$58,884.37
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$31,622.78
Typical High
$40,738.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$16,595.87
Typical High
$43,651.58
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$28,840.32
Typical High
$34,673.69

Where Utah sits

The same service costs 3.0 times more in Colorado 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· 20th of 51

$33,113

CO $48,978NM $16,218

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.