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Level 1 Upper GI Procedures

Wisconsin rates for APC 5301

Level 1 Upper GI Procedures

Rates data updated October 2026.

How much does Level 1 Upper GI Procedures cost?

$2,818

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $2,818 for this service. Most negotiated rates run $2,455 to $2,951.

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 $2,818 · 10th to 90th $1,905 to $3,715
$1K$2K$5Kfacility $2,818

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
$2,344.23
Median
$2,951.21
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$2,818.38
Typical High
$3,235.94
Quartz
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$2,454.71
Typical High
$3,801.89

Where Wisconsin sits

The same service costs 15.1 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

$2,818

ME $4,266HI $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.