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Hospital Outpatient Clinic Visit

Maine rates for HCPCS G0463

Hospital outpatient clinic visit for assessment and management of a patient

Rates data updated July 2026.

How much does Hospital Outpatient Clinic Visit cost?

$81.28

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $74.13 to $87.10.

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 $85 · 10th to 90th $50 to $191Professionalmedian $81 · 10th to 90th $74 to $87
$5$10$20$50$100facility $85professional $81

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$87.10
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$81.28
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$4.27
Typical High
$5.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$97.72
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$81.28
Typical High
$91.20

Where Maine sits

The same service costs 9.1 times more in North Carolina than in Minnesota. 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· 47th of 51

$81.28

NC $166MN $18.20

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.