Medical Procedure Costs in Utah
Utah Medicare physician rates are generally below the national average (-4.0%). One statewide locality — the ZIP tool still maps you onto that locality.
Look up any CPT in Utah
Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These Utah averages are unweighted means of the state’s localities, not population-weighted.
How Medicare prices Utah
Utah's fee schedule operates as a single statewide locality with geographic indices slightly below the national average, so the Wasatch Front and the remote canyon country share identical Medicare-approved amounts. Salt Lake City's growth into a major regional economy has not split the locality. From Logan to St. George, the same adjustments apply, making the statewide figures a clean guide for any Utah address. As usual, the choice between hospital-based and office-based settings will move a bill more than in-state geography can.
The Wasatch Front from Ogden through Salt Lake City to Provo concentrates nearly all of Utah's specialty care, anchored by an academic medical center and a large integrated system known nationally for cost discipline. Salt Lake City is also the referral hub for a huge intermountain region covering parts of Idaho, Wyoming, and Nevada. Fast-growing St. George serves the southwest corner, but rural and canyon-country residents still travel far for procedures.
Look up your ZIP for your part of Utah, whether Salt Lake City, Provo, Ogden, Logan, St. George, or the rural east and canyon country.
Featured physician rates in Utah
Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.
Other states
Medical costs in Utah: questions
Across the 59 featured procedures on this page, Utah sits below the national average by about 4%. Examples: incision & drainage of abscess $123, skin biopsy (tangential) $91, skin biopsy (punch) $115. Search any other CPT in the box above — those codes are in the tool, not as extra Utah articles.
Utah is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.
Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.
Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies Utah’s locality when you enter a ZIP.