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Level 5 ENT Procedures

California rates for APC 5165

Level 5 ENT Procedures

Rates data updated October 2026.

How much does Level 5 ENT Procedures cost?

$10,233

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $10,233 for this service. Most negotiated rates run $7,762 to $15,488.

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 $10,233 · 10th to 90th $129 to $27,542
$100$500$2K$10K$50Kfacility $10,233

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
$8,511.38
Median
$11,481.54
Typical High
$26,915.35
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$25,118.86
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$13,182.57
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$131.83
Typical High
$281.84
Providence
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38

Where California sits

The same service costs 95.5 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.

California· 27th of 42

$10,233

ME $26,915HI $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.