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Level 5 Musculoskeletal Procedures

Washington rates for APC 5115

Level 5 Musculoskeletal Procedures

Rates data updated October 2026.

How much does Level 5 Musculoskeletal Procedures cost?

$43,652

Typical facility fee. In Washington, October 2026.

Insurers have agreed to pay about $43,652 for this service. Most negotiated rates run $36,308 to $54,954.

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 $43,652 · 10th to 90th $28,184 to $70,795
$20K$50K$100Kfacility $43,652

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
$38,018.94
Median
$45,708.82
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$40,738.03
Typical High
$50,118.72
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$43,651.58
Typical High
$64,565.42

Where Washington sits

The same service costs 208.9 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· 4th of 40

$43,652

ME $58,884HI $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.