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Level 1 Breast/Lymphatic Surgery and Related Procedures

Washington rates for APC 5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

Rates data updated October 2026.

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

$12,589

Typical facility fee. In Washington, October 2026.

Insurers have agreed to pay about $12,589 for this service. Most negotiated rates run $10,965 to $15,849.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $12,589 · 10th to 90th $7,244 to $21,380
$5K$10K$20Kfacility $12,589

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
$11,481.54
Median
$13,803.84
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$13,489.63
Typical High
$20,417.38
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$12,589.25
Typical High
$18,620.87

Where Washington sits

The same service costs 63.1 times more in Maine 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.

Washington· 5th of 41

$12,589

ME $17,783HI $282

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.