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Level 1 Breast/Lymphatic Surgery and Related Procedures

Wisconsin 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?

$12,023

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $12,023 for this service. Most negotiated rates run $10,715 to $12,303.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $12,023 · 10th to 90th $8,318 to $15,136
$5K$10K$20Kfacility $12,023

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$12,022.64
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$12,302.69
Typical High
$13,803.84
Quartz
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$10,471.29
Typical High
$16,595.87

Where Wisconsin 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.

Wisconsin· 6th of 41

$12,023

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.