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Repair of a Long-Standing Diaphragm Tear

Maine rates for HCPCS 39541

Repairs a tear in the diaphragm, the sheet of muscle between the chest and abdomen, caused by an earlier injury and found some time after the event rather than at the time of the trauma. Abdominal organs that have pushed up into the chest are brought back down and the defect is closed, with a mesh or patch if the gap is large. Older tears are stiffer and often stuck to surrounding tissue, making the repair more involved.

Rates data updated July 2026.

How much does Repair of a Long-Standing Diaphragm Tear cost?

$1,288

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $1,096 to $1,622.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22,387 · 10th to 90th $20,893 to $29,512Professionalmedian $1,259 · 10th to 90th $912 to $1,995
$1K$2K$5K$10K$20Kfacility $22,387professional $1,259

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$1,174.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$22,387.21
Typical High
$29,512.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$2,041.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$2,137.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,047.13
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$1,995.26

Where Maine sits

The same service costs 8.3 times more in California than in Mississippi. 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.

Maine· 22nd of 51

$1,288

CA $7,413MS $891

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.