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Level 5 ENT Procedures

Wisconsin rates for APC 5165

Level 5 ENT Procedures

Rates data updated October 2026.

How much does Level 5 ENT Procedures cost?

$18,197

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $16,218 to $18,621.

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 $18,197 · 10th to 90th $12,589 to $23,442
$5K$10K$20Kfacility $18,197

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
$14,791.08
Median
$18,620.87
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$18,197.01
Typical High
$20,892.96
Quartz
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$15,848.93
Typical High
$25,118.86

Where Wisconsin 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.

Wisconsin· 6th of 42

$18,197

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.