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Level 1 Upper GI Procedures

California rates for APC 5301

Level 1 Upper GI Procedures

Rates data updated July 2026.

How much does Level 1 Upper GI Procedures cost?

$129

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $110 to $170.

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 $129 · 10th to 90th $105 to $708
$100.0$200.0$500.0$1.0Kfacility $129

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
$501.19
Median
$537.03
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$151.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26

Where California sits

The same service costs 38.9 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 $129 · 21st of 21
WA $5,012CA $129

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.