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Maine

Cost of a Carpal Tunnel Surgery Visit
in Maine

Reviewed by Momentary Medical Group West PC

Maine's healthcare landscape reflects both its rural geography and concentrated population centers, with most specialists clustered in the Portland metro area and Bangor region. For Carpal Tunnel Surgery procedures, patients in Maine typically encounter negotiated rates ranging from $519 to $888, with a median cost of $850 based on insurer agreements with over 1,500 providers statewide. The state's robust network of Carpal Tunnel Surgery specialists means patients across Maine have access to quality care, whether seeking treatment through Maine Medical Center's network or independent practices throughout the Pine Tree State.

Average

$753

Median

$850

Lowest

$519

Highest

$888

Providers

1,519

National avg: $758Maine: $753

1% below national average

Compare Similar Procedures

How does carpal tunnel surgery compare to related procedures in Maine?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,713$2,488$2,6891,522
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,585$2,491$2,6391,529
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$643$1,068$1,1231,524
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$634$1,054$1,0871,528
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$746$1,250$1,2861,541
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$682$1,144$1,1771,551
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$1,043$1,716$1,7761,529
Septoplasty

Nasal septum repair

30520$811$1,310$1,3461,526
Tonsillectomy

Tonsillectomy, primary or secondary

42820$342$573$5781,524
Inguinal Hernia Repair

Inguinal hernia repair

49505$630$998$1,0221,521
Mastectomy

Partial or simple mastectomy

19301$749$1,255$1,2741,523

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 64721Neuroplasty and/or transposition; median nerve at carpal tunnel). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 64721 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 64721 (Neuroplasty and/or transposition; median nerve at carpal tunnel), as mandated by the CMS Price Transparency Rule.

What CPT 64721 covers: the provider's professional fee for carpal tunnel surgery. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Maine

These hospitals in Maine are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
83% would recommend423 patient surveys
5/5
71% would recommend114 patient surveys
4/5
85% would recommend1,053 patient surveys
4/5
85% would recommend649 patient surveys
4/5
84% would recommend120 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Carpal Tunnel Surgery Visit Costs Vary Across Maine

Maine's healthcare costs run approximately 12% above national averages, driven by the state's rural geography and concentrated provider networks in urban areas like Portland and Bangor. The state's aging population and seasonal tourism patterns create unique demand pressures on specialty services throughout the year.

Urban vs. Rural Provider Availability

Most Carpal Tunnel Surgery specialists practice within the Portland metro area and Bangor, leaving rural counties like Aroostook and Washington with limited local options. Patients in northern and eastern Maine often travel 2-3 hours for specialty care, sometimes increasing total treatment costs due to travel and time off work. This geographic concentration allows urban practices to maintain higher fee schedules while rural areas may see fewer specialists accepting new patients.

Facility Type and Overhead Costs

Maine's healthcare landscape is dominated by two major health systems - MaineHealth centered in Portland and Northern Light Health based in Bangor - which operate most hospital-based outpatient surgery centers. Independent ambulatory surgery centers offer competitive alternatives in southern Maine but are scarce in rural regions. Hospital-based facilities typically carry higher overhead costs that get passed to patients through facility fees.

Insurance Market Competition in Maine

Anthem Blue Cross Blue Shield holds the largest market share in Maine, followed by Harvard Pilgrim Health Care and a smaller presence from United Healthcare. This relatively concentrated market gives insurers significant negotiating power with providers, though it can limit patient choice in plan options. The state's individual marketplace has seen improving competition in recent years, helping moderate premium increases.

Physician Supply and Demand in Maine

With over 1,500 providers offering Carpal Tunnel Surgery services, Maine maintains adequate specialist availability relative to its population of 1.4 million residents. However, many of these providers are concentrated in southern Maine, creating access challenges for rural populations. The state's aging physician workforce and recruitment challenges in rural areas contribute to longer wait times and potentially higher costs outside major metropolitan areas.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Carpal Tunnel Surgery Costs in Maine

What is the average cost of a Carpal Tunnel Surgery visit in Maine without insurance?

Based on negotiated rates with Maine providers, Carpal Tunnel Surgery procedures typically range from $519 to $888, with a median cost of $850. Self-pay patients may receive discounts of 20-40% from these rates, especially when paying at the time of service. Many Maine providers offer payment plans to make the procedure more affordable for uninsured patients.

Does Maine Medicaid cover Carpal Tunnel Surgery visits?

Yes, Maine Medicaid covers medically necessary Carpal Tunnel Surgery procedures following the state's Medicaid expansion. Patients typically need prior authorization and may be required to try conservative treatments first. Coverage includes both the surgical procedure and necessary follow-up care, though finding providers who accept MaineCare can sometimes involve longer wait times.

How do I find an affordable Carpal Tunnel Surgery near me in Maine?

Compare costs between hospital-based outpatient centers and independent ambulatory surgery centers, as facility fees can vary significantly. Ask about self-pay discounts, payment plans, and whether the surgeon offers competitive cash rates. Community health centers in Maine may also provide referrals to affordable specialists or sliding-scale fee programs.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial consultations for Carpal Tunnel Surgery evaluation typically cost more than follow-up visits, as they involve comprehensive examination and treatment planning. Follow-up visits focus on post-operative care or monitoring conservative treatment progress. The exact cost difference depends on your insurance plan's specialist copay structure and whether additional diagnostic tests are needed.

Can I use an HSA or FSA to pay for a Carpal Tunnel Surgery visit in Maine?

Yes, both HSA and FSA funds can be used to pay for Carpal Tunnel Surgery consultations, procedures, and related medical expenses in Maine. This includes copays, deductibles, and any out-of-pocket costs not covered by insurance. Keep all receipts and documentation for tax purposes, as these qualify as eligible medical expenses under IRS guidelines.

How does telemedicine affect the cost of seeing a Carpal Tunnel Surgery in Maine?

Telemedicine consultations for initial evaluations or follow-up care typically cost 20-30% less than in-person visits in Maine. However, carpal tunnel diagnosis usually requires physical examination and nerve conduction studies that cannot be performed remotely. Many Maine providers use telehealth for pre-operative consultations and post-surgical follow-ups to reduce travel burden for rural patients.

Click a state to compare costs

Average Visit Cost

$274
$2,063

Office visit (CPT 64721)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $85$5,357
$2,063
2North Dakota
Range: $319$2,591
$1,168
3Rhode Island
Range: $364$1,957
$1,066
4Massachusetts
Range: $338$1,957
$1,005
5Minnesota
Range: $358$1,930
$1,003
6Delaware
Range: $354$1,957
$974
7Georgia
Range: $344$1,930
$973
8West Virginia
Range: $342$2,006
$972
9New York
Range: $320$1,963
$969
10New Jersey
Range: $265$2,119
$968
11Connecticut
Range: $311$1,957
$962
12Alaska
Range: $364$1,957
$961
13Kentucky
Range: $340$1,957
$954
14Pennsylvania
Range: $317$1,957
$937
15District of Columbia
Range: $328$1,686
$917
16Oregon
Range: $90$1,930
$888
17Wyoming
Range: $519$1,358
$865
18Nebraska
Range: $513$1,068
$840
19New Hampshire
Range: $429$1,267
$838
20Washington
Range: $490$1,221
$793
21Iowa
Range: $361$1,068
$787
22California
Range: $80$1,930
$757
23Maine
Range: $519$888
$753
24Utah
Range: $265$988
$728
25North Carolina
Range: $349$1,241
$727
26Colorado
Range: $364$1,110
$701
27New Mexico
Range: $385$1,031
$683
28Illinois
Range: $372$1,070
$679
29Hawaii
Range: $358$1,040
$667
30South Dakota
Range: $296$1,068
$662
31Indiana
Range: $291$1,070
$640
32Vermont
Range: $338$1,053
$637
33Michigan
Range: $359$1,068
$628
34South Carolina
Range: $334$1,030
$610
35Louisiana
Range: $294$979
$593
36Alabama
Range: $294$910
$590
37Missouri
Range: $402$726
$581
38Idaho
Range: $90$1,031
$567
39Virginia
Range: $309$920
$564
40Arkansas
Range: $294$790
$560
41Maryland
Range: $318$920
$552
42Tennessee
Range: $332$804
$546
43Oklahoma
Range: $345$823
$531
44Kansas
Range: $402$670
$526
45Mississippi
Range: $332$826
$520
46Montana
Range: $90$979
$513
47Nevada
Range: $352$746
$512
48Ohio
Range: $268$797
$506
49Texas
Range: $90$895
$484
50Arizona
Range: $352$729
$482
51Florida
Range: $35$733
$274
Carpal Tunnel Surgery in Other States