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See a sample rate comparisonCPT 30100 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Biopsy, Intranasal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 30100 |
| Medicaid Fee Schedule | View Medicaid rates for 30100 |
National average reimbursement for CPT 30100 by major payers:
$170.13
$178.22
$197.16
$123.67
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CPT 30100
5 of 25 sample ratesHigher to lower in this preview
Novant Health Clemmons Outpatient Surgery, LLC
Novant Health Clemmons Outpatient Surgery LLC
$2,194.00Published rateDurango Surgery Center LLC, Animas Surgical Center At Escalante
Durango Surgery Center LLC
$1,195.00Published rateChatham Orthopaedic Asc, LLC, Chatham Orthopaedic Surgery Center
$842.00Published rateIndiana Vascular Surgery Center LLC
$507.00Published rateLucas Moersdorf
Deaconess Hospital Inc
$112.79Published rate
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See a sample payer proposalCPT 30100 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30100 code is part of the Surgery services used for Surgical Procedures on the Respiratory System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 30100 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 30000-CPT | Moderate | Drain Pus Or Blood From Nose, Surgery To Open Up And Drain A Pocket Of Infection Or Blood From The Inside Of The Nose Or The Wall Between The Nostrils (Septum). |
| 30020-CPT | Moderate | Drain Pus Or Blood From Nose, Surgery To Open Up And Drain A Pocket Of Infection Or Blood From The Inside Of The Nose Or The Wall Between The Nostrils (Septum). |
| 30100-CPT | Low | Biopsy, Intranasal |
| 30110-CPT | Moderate | Excision Nasal Polyp(S), Simple |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30100 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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