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Level 5 Musculoskeletal Procedures

Wisconsin rates for APC 5115

Level 5 Musculoskeletal Procedures

Rates data updated October 2026.

How much does Level 5 Musculoskeletal Procedures cost?

$38,019

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $38,019 for this service. Most negotiated rates run $32,359 to $39,811.

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 $38,019 · 10th to 90th $23,988 to $50,119
$10K$20K$50Kfacility $38,019

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
$32,359.37
Median
$40,738.03
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$35,481.34
Typical High
$39,810.72
Quartz
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$34,673.69
Typical High
$53,703.18

Where Wisconsin 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.

Wisconsin· 7th of 40

$38,019

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.