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Level 1 ENT Procedures

California rates for APC 5161

Level 1 ENT Procedures

Rates data updated October 2026.

How much does Level 1 ENT Procedures cost?

$398

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $398 for this service. Most negotiated rates run $309 to $617.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $398 · 10th to 90th $129 to $1,072
$100$200$500$1K$2Kfacility $398

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$446.68
Typical High
$1,047.13
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$977.24
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$537.03
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$131.83
Typical High
$281.84
Providence
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$537.03

Where California sits

The same service costs 5.4 times more in Maine than in South Dakota. 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.

California· 31st of 42

$398

ME $1,072SD $200

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.