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Turbinate reduction: what insurers pay

Shrinking swollen nasal turbinates, by submucous resection (30140) or ablation (30802). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 30140: Turbinate Reduction

1081 hospitals in 80 markets. National Medicare rate $3,387, surgery center $1,480.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)13$3,717$4,206$4,812$2,932–$6,083
Alaska (statewide)3———$4,285–$10,806
Arizona (statewide)10$3,201$4,219$4,802$2,038–$11,826
Arkansas (statewide)13$2,330$3,116$3,559$1,875–$4,483
Atlanta GA6$4,175$4,175$4,579$4,175–$4,714
Austin TX13$2,515$4,863$4,863$2,515–$5,016
Boston MA11$3,766$4,850$4,992$2,552–$5,606
California (statewide)54$4,705$9,569$12,272$3,475–$12,848
Charlotte NC5$3,856$3,856$3,856$3,803–$3,856
Chicago IL8$4,534$5,100$7,295$2,125–$7,543
Cleveland OH11$3,353$3,598$4,634$1,857–$6,831
Colorado (statewide)15$4,316$5,134$6,296$3,259–$7,895
Columbus OH1———$25,384–$25,384
Connecticut (statewide)2———$3,362–$13,814
Dallas-Fort Worth TX12$4,868$4,952$5,193$4,862–$10,598
Delaware (statewide)1———$9,010–$9,010
Denver CO15$3,751$5,105$5,462$3,501–$6,503
Detroit MI14$2,916$3,268$3,695$1,780–$5,812
Florida (statewide)61$5,360$6,736$7,078$1,956–$15,595
Georgia (statewide)28$3,579$4,472$4,735$2,092–$14,666
Hawaii (statewide)3———$4,056–$5,144
Houston TX19$4,016$4,250$4,522$3,772–$6,328
Idaho (statewide)16$3,020$4,382$7,453$2,743–$10,597
Illinois (statewide)29$3,810$5,505$7,295$2,854–$9,635
Indiana (statewide)28$5,254$6,318$7,738$2,234–$20,584
Indianapolis IN2———$6,083–$13,791
Iowa (statewide)21$3,387$5,161$7,019$2,613–$10,061
Kansas (statewide)14$3,080$3,780$5,314$2,451–$10,806
Kentucky (statewide)17$2,746$3,893$4,491$1,788–$23,613
Las Vegas NV2———$2,374–$3,010
Los Angeles CA17$5,132$5,821$6,854$4,750–$14,342
Louisiana (statewide)23$3,180$3,667$4,316$2,619–$9,469
Maine (statewide)15$13,289$15,242$15,428$8,044–$19,397
Massachusetts (statewide)7$3,245$3,639$4,078$2,552–$6,684
Miami-Fort Lauderdale FL1———$5,546–$5,546
Michigan (statewide)23$2,352$3,142$3,304$1,844–$5,303
Minneapolis-St. Paul MN7$4,573$4,618$4,648$4,054–$6,069
Minnesota (statewide)13$4,719$8,592$10,358$3,501–$14,229
Mississippi (statewide)13$3,684$4,254$4,922$3,316–$5,796
Missouri (statewide)17$3,708$4,109$5,023$2,348–$6,897
Montana (statewide)4———$4,764–$9,283
Nashville TN8$2,753$2,895$4,014$1,637–$6,796
Nebraska (statewide)13$3,376$4,694$6,681$2,374–$6,949
Nevada (statewide)5$2,377$2,377$6,311$2,374–$7,744
New Hampshire (statewide)6$5,026$6,390$10,087$2,760–$14,847
New Jersey (statewide)15$3,763$5,624$8,175$3,544–$10,511
New Mexico (statewide)7$5,612$6,532$10,386$3,916–$13,563
New York (statewide)31$3,621$4,545$6,559$2,770–$10,176
New York City8$3,046$3,586$6,307$3,030–$9,002
North Carolina (statewide)3———$3,928–$9,044
North Dakota (statewide)5$5,610$5,685$7,003$5,176–$7,356
Ohio (statewide)36$4,665$7,002$8,734$1,786–$12,744
Oklahoma (statewide)10$3,661$6,748$6,886$1,664–$9,421
Oregon (statewide)7$8,304$8,973$12,013$7,446–$14,848
Pennsylvania (statewide)33$4,066$7,250$11,079$2,640–$15,251
Philadelphia PA11$3,619$4,174$5,562$3,316–$8,155
Phoenix AZ8$2,876$3,004$3,039$2,600–$3,039
Pittsburgh PA10$3,370$5,103$6,409$2,548–$8,163
Portland OR9$7,370$7,370$11,960$6,731–$11,960
Rhode Island (statewide)3———$6,251–$8,858
Richmond VA3———$4,934–$5,051
Rio Grande Valley TX4———$2,713–$5,830
Salt Lake City UT9$3,206$3,315$3,315$2,931–$3,424
San Antonio TX3———$3,958–$4,773
San Diego CA6$7,249$7,249$7,249$6,098–$7,863
San Francisco Bay Area CA6$6,436$9,900$12,457$5,606–$19,507
Seattle-Tacoma WA16$7,961$8,938$9,209$6,106–$11,664
South Carolina (statewide)19$5,758$6,860$10,426$1,582–$12,454
South Dakota (statewide)5$3,365$4,815$4,991$3,304–$16,028
St. Louis MO4———$2,975–$3,234
Tampa FL6$6,037$6,037$6,037$5,195–$9,268
Tennessee (statewide)21$2,895$3,158$3,883$2,435–$6,818
Texas (statewide)77$3,772$4,807$5,023$1,954–$10,176
Utah (statewide)7$2,958$3,206$3,260$2,931–$10,840
Vermont (statewide)2———$2,396–$2,893
Virginia (statewide)19$6,520$9,561$10,492$4,830–$12,578
Washington (statewide)11$7,344$8,394$9,562$3,300–$14,839
Washington DC9$3,793$5,073$5,073$3,273–$5,073
West Virginia (statewide)7$5,060$5,584$11,954$3,600–$22,072
Wisconsin (statewide)32$5,921$6,825$6,825$2,600–$12,998

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Musc Medical CenterSouth Carolina (statewide)$1,5820.5×12026-04-01
Ascension Saint Thomas RutherfordNashville TN$1,6370.5×12026-01-01
St Mary'S Regional Medical CenterOklahoma (statewide)$1,6640.5×12026-09-01
Musc Health Marion Medical CenterSouth Carolina (statewide)$1,7370.6×12026-04-01
Trinity Health Oakland HospitalDetroit MI$1,7800.5×212026-03-31
University Hospitals Samaritan Medical CenterOhio (statewide)$1,7860.6×12026-07-14
King'S Daughters' Medical CenterKentucky (statewide)$1,7880.6×22026-09-25
Henry Ford Health Providence Southfield HospitalMichigan (statewide)$1,8440.6×12026-01-01
Oaklawn HospitalMichigan (statewide)$1,8540.6×22026-03-27
University Hospitals Cleveland Medical CenterCleveland OH$1,8570.6×12026-07-14
Henry Ford Genesys HospitalMichigan (statewide)$1,8710.6×32026-01-01
Mercy Hospital Northwest ArkansasArkansas (statewide)$1,8750.6×62026-06-08
Northern Light C A Dean HospitalMaine (statewide)$15,4284.7×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$15,4284.7×22026-03-30
Holy Cross HospitalFlorida (statewide)$15,5954.5×232026-03-31
Mainehealth Waldo HospitalMaine (statewide)$15,9344.9×12025-09-09
Same Day Surgery Center LlcSouth Dakota (statewide)$16,0284.7×22026-09-10
Northern Light Mayo HospitalMaine (statewide)$16,2495.0×22026-03-30
Mainehealth Lincoln HospitalMaine (statewide)$19,3976.0×12025-09-09
Stanford Health CareSan Francisco Bay Area CA$19,5074.0×42026-04-01
Franciscan Health Crown PointIndiana (statewide)$20,5845.9×32026-01-01
Logan Regional Medical CenterWest Virginia (statewide)$22,0726.9×12026-04-01
Meadowview Regional Medical CenterKentucky (statewide)$23,6137.6×12026-07-10
Mount Carmel EastColumbus OH$25,3847.9×242026-03-31

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

CPT 30802: Turbinate Reduction

1040 hospitals in 77 markets. National Medicare rate $1,585, surgery center $659.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)12$1,341$1,610$2,261$729–$2,932
Alaska (statewide)2———$4,590–$7,604
Arizona (statewide)7$2,342$2,913$3,774$1,008–$6,173
Arkansas (statewide)11$1,402$1,458$1,747$1,062–$2,935
Atlanta GA6$3,320$3,320$3,373$3,320–$3,391
Austin TX13$1,132$2,716$3,333$1,132–$3,385
Boston MA11$2,184$2,453$2,750$1,473–$3,214
California (statewide)52$3,403$4,371$5,606$1,153–$8,616
Charlotte NC5$1,761$1,761$1,761$1,737–$1,761
Chicago IL9$2,550$3,414$3,622$1,520–$4,592
Cleveland OH11$1,842$2,291$2,479$1,441–$3,599
Colorado (statewide)15$2,322$3,344$4,118$1,102–$5,596
Connecticut (statewide)1———$3,181–$3,181
Dallas-Fort Worth TX11$2,900$3,018$3,356$2,808–$5,284
Denver CO15$1,957$3,821$4,018$1,102–$4,669
Detroit MI14$1,136$1,175$1,818$917–$5,085
Florida (statewide)59$2,820$3,334$3,818$1,744–$5,162
Georgia (statewide)27$2,300$3,320$3,490$1,518–$8,775
Hawaii (statewide)2———$1,844–$2,898
Houston TX18$2,487$2,530$2,700$2,045–$2,961
Idaho (statewide)14$1,503$3,202$3,762$1,018–$5,378
Illinois (statewide)28$2,191$2,520$3,546$899–$4,401
Indiana (statewide)23$1,944$3,295$6,046$1,242–$12,384
Iowa (statewide)20$2,282$3,222$3,755$873–$6,117
Kansas (statewide)13$1,858$2,794$3,918$718–$10,152
Kentucky (statewide)14$1,854$2,177$2,436$1,443–$2,892
Las Vegas NV2———$1,763–$2,889
Los Angeles CA17$2,915$3,446$3,747$2,606–$13,037
Louisiana (statewide)18$1,408$1,585$1,933$1,120–$4,144
Maine (statewide)16$6,070$6,888$7,047$3,312–$8,860
Massachusetts (statewide)5$1,906$1,921$2,514$1,617–$2,590
Miami-Fort Lauderdale FL1———$2,849–$2,849
Michigan (statewide)23$1,364$1,546$2,540$868–$3,184
Minneapolis-St. Paul MN7$2,727$2,814$2,990$1,403–$3,332
Minnesota (statewide)12$3,300$3,978$4,728$2,555–$5,638
Mississippi (statewide)12$2,201$2,473$2,901$925–$4,231
Missouri (statewide)13$2,923$3,142$3,317$1,476–$6,897
Montana (statewide)4———$3,066–$4,530
Nashville TN8$1,964$2,186$2,239$1,217–$2,611
Nebraska (statewide)11$3,047$3,171$3,660$1,763–$6,353
Nevada (statewide)3———$1,763–$2,102
New Hampshire (statewide)6$3,647$4,480$5,981$2,265–$6,948
New Jersey (statewide)23$4,894$6,196$7,560$2,499–$8,615
New Mexico (statewide)8$2,773$4,458$6,378$1,563–$9,338
New York (statewide)29$2,637$2,976$3,478$1,360–$5,210
New York City7$2,639$2,646$4,232$2,609–$7,379
North Carolina (statewide)4———$962–$4,114
North Dakota (statewide)5$2,563$2,693$3,484$2,382–$5,002
Ohio (statewide)38$2,173$3,218$4,521$816–$5,964
Oklahoma (statewide)10$2,257$3,220$3,370$1,374–$6,153
Oregon (statewide)8$3,716$4,030$5,620$1,645–$7,096
Pennsylvania (statewide)36$2,000$2,991$5,199$1,061–$8,865
Philadelphia PA10$2,304$2,695$4,780$2,196–$6,872
Phoenix AZ8$2,214$2,332$2,421$2,130–$2,421
Pittsburgh PA7$1,776$3,008$3,172$1,262–$3,728
Portland OR9$5,324$5,324$6,437$5,078–$6,437
Research Triangle NC1———$1,350–$1,350
Rhode Island (statewide)3———$4,052–$4,274
Richmond VA3———$3,534–$3,700
Rio Grande Valley TX3———$2,438–$3,142
Salt Lake City UT9$1,551$1,604$1,604$1,388–$1,657
San Antonio TX3———$2,121–$2,800
San Diego CA5$3,393$3,393$3,393$3,393–$3,436
San Francisco Bay Area CA6$2,895$3,611$4,684$2,191–$13,308
Seattle-Tacoma WA16$4,556$4,704$5,454$4,040–$6,747
South Carolina (statewide)19$4,264$5,126$5,632$1,291–$10,110
South Dakota (statewide)5$3,304$3,365$4,815$1,896–$7,924
St. Louis MO2———$1,576–$1,711
Tampa FL6$3,578$3,578$3,578$2,190–$4,633
Tennessee (statewide)21$1,527$2,039$2,212$1,298–$2,489
Texas (statewide)75$1,974$2,631$2,923$943–$8,220
Utah (statewide)7$1,444$1,551$1,578$1,388–$5,289
Virginia (statewide)19$4,287$4,607$5,086$2,640–$5,658
Washington (statewide)12$3,994$4,396$5,334$2,134–$7,969
Washington DC4———$2,210–$3,354
West Virginia (statewide)11$2,210$2,592$3,922$1,277–$10,330
Wisconsin (statewide)37$3,006$3,006$4,936$1,000–$6,834

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Manhattan Surgical Hospital LlcKansas (statewide)$7180.5×12025-11-12
Usa Health University HospitalAlabama (statewide)$7290.5×12026-04-30
Nationwide Children'S HospitalOhio (statewide)$8160.6×12026-04-01
Oaklawn HospitalMichigan (statewide)$8680.6×22026-03-27
Clarinda Regional Health CenterIowa (statewide)$8730.6×12026-07-13
Sarah Bush Lincoln Health CenterIllinois (statewide)$8990.5×12026-06-03
Thomas H Boyd Memorial HospitalIllinois (statewide)$8990.5×22026-07-07
Henry Ford Health -St John HospitalDetroit MI$9170.6×22026-01-01
Ochsner Rush HospitalMississippi (statewide)$9250.7×22026-04-01
Ennis Regional Medical CenterTexas (statewide)$9430.6×12026-04-01
Chatham Hospital IncNorth Carolina (statewide)$9620.6×52026-04-01
Ascension Ne Wisconsin - St Elizabeth CampusWisconsin (statewide)$1,0000.7×22026-01-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$8,7755.6×12026-04-01
Mainehealth Lincoln HospitalMaine (statewide)$8,8605.8×12025-09-09
Wellspan Ephrata Community HospitalPennsylvania (statewide)$8,8655.9×22026-01-01
Los Alamos Medical CenterNew Mexico (statewide)$9,3386.1×12026-07-10
Mcleod Loris HospitalSouth Carolina (statewide)$9,3886.5×22026-07-20
Mcleod Health ClarendonSouth Carolina (statewide)$9,3886.5×22026-07-20
Mcleod Medical Center - DillonSouth Carolina (statewide)$10,1107.0×12026-07-20
Mercy Hospital Pittsburg, IncKansas (statewide)$10,1527.1×22026-06-09
Logan Regional Medical CenterWest Virginia (statewide)$10,3306.9×12026-04-01
Saint Joseph Regional Medical CenterIndiana (statewide)$12,3847.5×252026-03-31
Cedars-Sinai Medical CenterLos Angeles CA$13,0376.5×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$13,3085.8×42026-04-01

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 turbinate reduction?

Across 1081 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 30140, hospital outpatient is $5,023, 1.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,662 to $7,144. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for turbinate reduction?

Medicare's national hospital outpatient rate for CPT 30140 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 turbinate reduction?

Lowest medians: Musc Medical Center ($1,582), Ascension Saint Thomas Rutherford ($1,637), St Mary'S Regional Medical Center ($1,664). Highest: Mount Carmel East ($25,384), Meadowview Regional Medical Center ($23,613), Logan Regional Medical Center ($22,072). Coverage: every hospital whose price file we could read.