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Surgical Removal Of A Pancreatic Stone

Maine rates for HCPCS 48020

Opens the duct that drains the pancreas to take out a stone blocking the flow of digestive juice. Clearing the blockage relieves pain and lowers the risk of repeated inflammation of the gland.

Rates data updated July 2026.

How much does Surgical Removal Of A Pancreatic Stone cost?

$1,445

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,445 for this service. Most negotiated rates run $1,380 to $2,291.

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 $13,183 · 10th to 90th $11,749 to $17,783Professionalmedian $1,445 · 10th to 90th $1,175 to $2,951
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $13,183professional $1,445

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
$1,174.90
Median
$1,380.38
Typical High
$1,412.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$13,489.63
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,819.70
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,548.82
Typical High
$2,754.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,819.70
Typical High
$3,162.28
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$3,162.28

Where Maine sits

The same service costs 2.3 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $1,445 · 20th of 51
MN $2,692KY $1,175

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.