Cost of a Septoplasty Visit
in Maine
Reviewed by Momentary Medical Group West PC
Maine's predominantly rural healthcare landscape, with 70% of the state classified as medically underserved, creates unique pricing dynamics for Septoplasty procedures. Based on negotiated insurance rates, patients typically pay between $810 and $1,346 for a Septoplasty visit, with most procedures falling around $1,310. Maine has over 1,500 participating providers across the state, giving patients substantial choice when browsing all available Septoplasty specialists throughout the Pine Tree State.
Average
$1,156
Median
$1,310
Lowest
$811
Highest
$1,346
Providers
1,526
26% above national average
Compare Similar Procedures
How does septoplasty compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,713 | $2,488 | $2,689 | 1,522 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,585 | $2,491 | $2,639 | 1,529 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $643 | $1,068 | $1,123 | 1,524 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $634 | $1,054 | $1,087 | 1,528 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $746 | $1,250 | $1,286 | 1,541 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $682 | $1,144 | $1,177 | 1,551 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $1,043 | $1,716 | $1,776 | 1,529 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $342 | $573 | $578 | 1,524 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $630 | $998 | $1,022 | 1,521 |
| Mastectomy Partial or simple mastectomy | 19301 | $749 | $1,255 | $1,274 | 1,523 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $519 | $850 | $888 | 1,519 |
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 30520 — Septoplasty or submucous resection). 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 30520 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 30520 (Septoplasty or submucous resection), as mandated by the CMS Price Transparency Rule.
What CPT 30520 covers: the provider's professional fee for septoplasty. 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.
AUGUSTA, ME
HOULTON, ME
BANGOR, ME
PORTLAND, ME
BAR HARBOR, ME
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Septoplasty Visit Costs Vary Across Maine
Maine's healthcare costs run approximately 12% above the national average, driven by the state's rural geography and limited provider competition in specialized fields like ENT surgery. The concentration of major medical facilities in Portland creates cost disparities between urban and remote regions throughout the state.
Urban vs. Rural Provider Availability
Greater Portland houses nearly 60% of Maine's ENT specialists, creating significant access challenges for patients in Aroostook County and other rural regions. Travel costs to reach qualified surgeons can add hundreds of dollars to the total treatment expense for rural patients. Some remote areas rely on visiting specialists who command premium rates for their limited availability.
Facility Type and Overhead Costs
Maine Medical Center and Northern Light Health systems dominate the state's hospital-based specialty care, often charging higher facility fees than independent practices. Smaller surgical centers in cities like Auburn or Waterville may offer more competitive pricing but have limited availability. The state's older medical infrastructure also contributes to higher operational costs passed on to patients.
Insurance Market Competition in Maine
Anthem holds the largest market share among Maine insurers, followed by Harvard Pilgrim and UHC, creating moderate competition for negotiated rates. The relatively small patient population limits insurers' bargaining power with specialist practices. Rural areas often have even fewer insurance options, reducing competitive pressure on pricing.
Physician Supply and Demand in Maine
With over 1,500 participating Septoplasty providers statewide, Maine shows adequate specialist availability relative to its population of 1.4 million residents. However, geographic distribution remains uneven, with wait times exceeding 6-8 weeks in rural counties compared to 2-3 weeks in Portland. This supply imbalance allows urban practices to maintain higher pricing while rural specialists may offer more competitive rates to attract patients.
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.
Frequently Asked Questions — Septoplasty Costs in Maine
What is the average cost of a Septoplasty visit in Maine without insurance?
Does Maine Medicaid cover Septoplasty visits?
How do I find an affordable Septoplasty near me in Maine?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Septoplasty visit in Maine?
How does telemedicine affect the cost of seeing a Septoplasty in Maine?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 30520)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $95 – $4,419 | $1,865 |
| 2 | Massachusetts Range: $456 – $2,788 | $1,415 |
| 3 | Nebraska Range: $765 – $1,627 | $1,273 |
| 4 | Wyoming Range: $714 – $1,996 | $1,260 |
| 5 | Rhode Island Range: $555 – $2,160 | $1,256 |
| 6 | Georgia Range: $499 – $2,190 | $1,213 |
| 7 | Iowa Range: $549 – $1,627 | $1,201 |
| 8 | New Hampshire Range: $563 – $1,719 | $1,178 |
| 9 | Maine Range: $811 – $1,346 | $1,156 |
| 10 | Connecticut Range: $432 – $2,160 | $1,124 |
| 11 | Delaware Range: $449 – $2,160 | $1,112 |
| 12 | Pennsylvania Range: $434 – $2,160 | $1,104 |
| 13 | New York Range: $466 – $2,160 | $1,084 |
| 14 | District of Columbia Range: $461 – $1,588 | $1,036 |
| 15 | California Range: $80 – $2,160 | $1,020 |
| 16 | North Carolina Range: $500 – $1,710 | $1,012 |
| 17 | New Mexico Range: $566 – $1,494 | $996 |
| 18 | Colorado Range: $526 – $1,567 | $983 |
| 19 | Utah Range: $90 – $1,485 | $981 |
| 20 | West Virginia Range: $461 – $1,698 | $980 |
| 21 | Vermont Range: $500 – $1,577 | $966 |
| 22 | North Dakota Range: $381 – $1,627 | $952 |
| 23 | Kentucky Range: $435 – $1,627 | $951 |
| 24 | Washington Range: $80 – $1,793 | $910 |
| 25 | South Carolina Range: $466 – $1,422 | $856 |
| 26 | South Dakota Range: $90 – $1,627 | $855 |
| 27 | Oregon Range: $80 – $1,641 | $855 |
| 28 | Minnesota Range: $91 – $1,627 | $842 |
| 29 | Illinois Range: $512 – $1,289 | $828 |
| 30 | Maryland Range: $461 – $1,395 | $824 |
| 31 | Alabama Range: $433 – $1,315 | $812 |
| 32 | Mississippi Range: $471 – $1,357 | $808 |
| 33 | Tennessee Range: $516 – $1,155 | $801 |
| 34 | Arkansas Range: $433 – $1,074 | $798 |
| 35 | New Jersey Range: $406 – $1,411 | $794 |
| 36 | Virginia Range: $433 – $1,298 | $792 |
| 37 | Missouri Range: $573 – $954 | $783 |
| 38 | Oklahoma Range: $500 – $1,200 | $774 |
| 39 | Kansas Range: $569 – $981 | $772 |
| 40 | Hawaii Range: $80 – $1,376 | $771 |
| 41 | Idaho Range: $80 – $1,422 | $762 |
| 42 | Indiana Range: $90 – $1,472 | $748 |
| 43 | Michigan Range: $532 – $1,072 | $746 |
| 44 | Nevada Range: $463 – $1,103 | $731 |
| 45 | Louisiana Range: $399 – $1,133 | $723 |
| 46 | Arizona Range: $498 – $1,072 | $701 |
| 47 | Ohio Range: $357 – $1,116 | $688 |
| 48 | Texas Range: $90 – $1,309 | $679 |
| 49 | Alaska Range: $80 – $1,251 | $470 |
| 50 | Montana Range: $80 – $920 | $360 |
| 51 | Florida Range: $35 – $938 | $343 |