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Septoplasty: what insurers pay

Straightening the wall between the nostrils. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 30520: Septoplasty

1153 hospitals in 82 markets. National Medicare rate $3,387, surgery center $1,480.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)12$3,866$4,225$4,927$3,070–$11,134
Alaska (statewide)4———$2,305–$18,950
Arizona (statewide)10$3,946$4,668$5,354$2,038–$7,469
Arkansas (statewide)14$2,748$3,116$3,768$1,875–$5,000
Atlanta GA6$5,024$5,024$5,890$5,024–$6,179
Austin TX13$2,515$5,019$5,019$2,515–$5,844
Boston MA11$3,938$4,279$4,930$2,552–$5,606
California (statewide)56$5,808$9,569$12,272$3,969–$16,528
Charlotte NC5$3,856$3,856$3,856$3,803–$3,856
Chicago IL10$4,021$6,006$7,128$3,534–$7,543
Cleveland OH11$3,426$4,052$5,182$2,694–$7,654
Colorado (statewide)15$4,344$5,039$6,660$2,214–$10,181
Columbus OH1———$25,384–$25,384
Connecticut (statewide)2———$6,002–$13,814
Dallas-Fort Worth TX12$5,528$5,843$6,708$5,023–$10,598
Delaware (statewide)1———$9,010–$9,010
Denver CO15$3,125$5,270$5,736$2,214–$7,526
Detroit MI15$3,268$3,744$4,976$3,268–$5,812
Florida (statewide)62$5,360$6,736$7,107$1,888–$15,595
Georgia (statewide)29$3,806$5,051$6,179$2,439–$17,972
Hawaii (statewide)3———$5,144–$5,324
Houston TX19$4,608$4,807$5,172$4,254–$6,328
Idaho (statewide)16$2,820$3,444$7,700$2,046–$12,322
Illinois (statewide)27$3,816$4,711$7,295$3,279–$9,635
Indiana (statewide)34$3,798$6,046$8,036$2,064–$23,780
Indianapolis IN3———$2,064–$23,192
Iowa (statewide)23$4,018$5,178$6,514$2,366–$10,061
Kansas (statewide)17$3,851$4,568$5,514$2,223–$18,950
Kentucky (statewide)17$3,216$4,491$5,204$1,958–$8,734
Las Vegas NV2———$3,010–$3,182
Los Angeles CA17$6,035$8,212$9,891$5,311–$19,930
Louisiana (statewide)24$2,970$3,566$4,110$2,151–$9,469
Maine (statewide)16$13,289$15,081$15,428$7,077–$19,397
Maryland (statewide)1———$1,635–$1,635
Massachusetts (statewide)5$2,552$3,639$4,358$2,532–$4,876
Miami-Fort Lauderdale FL1———$5,038–$5,038
Michigan (statewide)25$3,304$3,833$5,190$1,854–$6,311
Minneapolis-St. Paul MN9$4,528$4,618$4,677$2,768–$6,102
Minnesota (statewide)13$6,581$8,612$10,358$4,618–$11,903
Mississippi (statewide)15$3,938$4,316$4,751$3,115–$5,461
Missouri (statewide)18$4,502$5,648$7,246$1,839–$9,202
Montana (statewide)5$6,810$7,500$8,204$6,448–$9,283
Nashville TN8$3,658$3,910$4,508$2,307–$6,684
Nebraska (statewide)13$5,178$9,097$9,875$3,182–$20,585
Nevada (statewide)6$3,035$4,303$6,360$2,986–$7,744
New Hampshire (statewide)6$11,050$12,356$14,384$8,425–$14,847
New Jersey (statewide)23$6,554$7,580$8,216$3,544–$13,320
New Mexico (statewide)8$5,588$7,813$12,099$3,777–$13,842
New York (statewide)34$3,056$4,487$7,109$2,543–$10,176
New York City8$3,046$3,586$5,906$3,030–$8,483
North Carolina (statewide)6$3,224$6,070$8,646$2,171–$9,044
North Dakota (statewide)5$5,685$5,876$7,356$5,610–$9,992
Ohio (statewide)38$3,540$6,803$9,806$1,621–$12,744
Oklahoma (statewide)11$5,196$6,748$7,408$2,027–$11,390
Oregon (statewide)9$8,304$8,973$11,282$6,632–$14,848
Pennsylvania (statewide)42$4,228$6,690$9,724$2,006–$16,930
Philadelphia PA11$5,673$5,898$7,967$5,164–$13,320
Phoenix AZ8$3,726$3,770$3,772$3,592–$3,778
Pittsburgh PA10$3,545$5,862$6,736$2,384–$8,163
Portland OR9$11,261$11,261$11,960$10,830–$11,960
Research Triangle NC1———$3,175–$3,175
Rhode Island (statewide)4———$4,451–$8,858
Richmond VA3———$6,884–$8,137
Rio Grande Valley TX5$4,194$6,736$6,736$2,713–$7,213
Salt Lake City UT9$3,206$3,206$3,206$2,931–$3,206
San Antonio TX3———$4,332–$4,807
San Diego CA6$7,249$7,249$7,249$6,098–$7,863
San Francisco Bay Area CA6$8,215$10,414$11,955$7,098–$29,091
Seattle-Tacoma WA16$8,370$9,124$9,387$6,106–$11,664
South Carolina (statewide)19$9,488$10,678$16,082$2,685–$20,079
South Dakota (statewide)5$4,815$8,249$8,401$4,002–$16,028
St. Louis MO4———$2,975–$3,234
Tampa FL6$6,037$6,037$6,037$4,116–$15,523
Tennessee (statewide)22$3,163$3,565$3,852$2,434–$6,324
Texas (statewide)79$3,946$5,023$5,395$2,035–$10,176
Utah (statewide)7$2,958$3,206$3,206$2,931–$10,840
Vermont (statewide)2———$2,979–$7,708
Virginia (statewide)19$8,403$9,428$10,492$5,146–$12,578
Washington (statewide)11$8,102$8,519$9,892$3,300–$15,323
Washington DC9$5,866$5,866$5,866$5,051–$6,822
West Virginia (statewide)8$5,299$5,561$11,366$3,600–$22,072
Wisconsin (statewide)40$5,694$6,662$7,651$1,729–$12,998

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Selby General HospitalOhio (statewide)$1,6210.5×12026-10-01
Atlantic General HospitalMaryland (statewide)$1,6350.5×12026-04-10
Edgerton Hospital And Health ServicesWisconsin (statewide)$1,7290.5×12026-07-19
Mercy Hospital JoplinMissouri (statewide)$1,8390.6×162026-06-09
Mercy Hospital SpringfieldMissouri (statewide)$1,8390.6×182026-06-04
Oaklawn HospitalMichigan (statewide)$1,8540.6×22026-03-27
Mercy Hospital Northwest ArkansasArkansas (statewide)$1,8750.6×62026-06-08
Baptist HospitalFlorida (statewide)$1,8880.6×82025-12-23
Chi Saint Joseph Berea NfKentucky (statewide)$1,9580.6×72026-02-28
Upmc HorizonPennsylvania (statewide)$2,0060.6×22026-03-06
Nationwide Children'S HospitalOhio (statewide)$2,0120.6×12026-04-01
Newman Memorial HospitalOklahoma (statewide)$2,0270.6×12026-07-10
Providence Medical CenterKansas (statewide)$18,9506.0×22026-04-01
Mainehealth Lincoln HospitalMaine (statewide)$19,3976.0×12025-09-09
Cedars-Sinai Medical CenterLos Angeles CA$19,9304.7×22025-11-26
Mcleod Medical Center - DillonSouth Carolina (statewide)$20,0796.5×12026-07-20
Franciscan Health Crown PointIndiana (statewide)$20,5845.9×32026-01-01
Chi Health St FrancisNebraska (statewide)$20,5856.0×62026-02-28
Franciscan Health Michigan CityIndiana (statewide)$21,5986.2×32026-01-01
Logan Regional Medical CenterWest Virginia (statewide)$22,0726.9×12026-04-01
Franciscan Health IndianapolisIndianapolis IN$23,1926.6×12026-01-01
Franciscan Health DyerIndiana (statewide)$23,7806.8×32026-01-01
Mount Carmel EastColumbus OH$25,3847.9×242026-03-31
Stanford Health CareSan Francisco Bay Area CA$29,0916.0×32026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for septoplasty?

Across 1153 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 30520, hospital outpatient is $5,532, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,864 to $7,710. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for septoplasty?

Medicare's national hospital outpatient rate for CPT 30520 is $3,387 and its surgery-center rate is $1,480, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for septoplasty?

Lowest medians: Selby General Hospital ($1,621), Atlantic General Hospital ($1,635), Edgerton Hospital And Health Services ($1,729). Highest: Stanford Health Care ($29,091), Mount Carmel East ($25,384), Franciscan Health Dyer ($23,780). Coverage: every hospital whose price file we could read.