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Level 1 Breast/Lymphatic Surgery and Related Procedures

Nationwide rates for APC 5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

Rates data updated July 2026.

How much does Level 1 Breast/Lymphatic Surgery and Related Procedures cost?

$3,802

Typical facility fee. Nationwide, July 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $2,818 to $5,012.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,802 ยท 10th to 90th $151 to $7,413
$100.0$500.0$2.0K$10.0Kfacility $3,802

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,890.45
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$10,232.93

What it costs in each state

The same service costs 158.5 times more in Washington than in California. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

WA $20,417CA $129

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.