Where 99.999% is used
Telecoms, core payment rails, and safety-critical systems. When a SaaS vendor claims five nines, check whether the SLA measures the whole service or a narrow control-plane endpoint, and check what the remedy is.
What it demands
Active-active across regions, automated failover measured in seconds, and an organisation that treats a single bad deploy as an incident. The cost is not the infrastructure, it is the engineering discipline it forces on everything else.
One step either way
Dropping to 99.99% widens the monthly budget to 4m 19s.
Measuring it
You cannot report on a service level you are not measuring at a finer resolution than the budget itself. At 99.999% the monthly allowance is 26s, so a check interval anywhere near that figure will miss breaches entirely. Work out your own numbers, or monitor it continuously from four regions, free to start.