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Level 1 ENT Procedures

California rates for APC 5161

Level 1 ENT Procedures

Rates data updated July 2026.

How much does Level 1 ENT Procedures cost?

$126

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $110 to $141.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $126 · 10th to 90th $105 to $174
$100.0$200.0facility $126

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$134.90
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$151.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74

Where California sits

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.

California $126 · 21st of 21
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.