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Orbital Procedures with Complications

Maine rates for MS-DRG 113

Orbital Procedures with CC/MCC

Rates data updated July 2026.

How much does Orbital Procedures with Complications cost?

$44,668

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $44,668 for this service. Most negotiated rates run $36,308 to $46,774.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $44,668 · 10th to 90th $30,200 to $54,954
$20.0K$50.0Kfacility $44,668

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$46,773.51
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$36,307.81
Typical High
$70,794.58
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$34,673.69
United
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$30,199.52
Typical High
$30,199.52

Where Maine sits

The same service costs 3.2 times more in New York than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $44,668 · 13th of 51
NY $61,660NM $19,055

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.