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Level 1 ENT Procedures

Nationwide rates for APC 5161

Level 1 ENT Procedures

Rates data updated July 2026.

How much does Level 1 ENT Procedures cost?

$229

Typical facility fee. Nationwide, July 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $174 to $309.

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 $229 ยท 10th to 90th $129 to $447
$100.0$200.0$500.0$1.0Kfacility $229

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
$154.88
Median
$234.42
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$281.84
Typical High
$616.60

What it costs in each state

The same service costs 10.0 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 $1,259CA $126

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.