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See a sample rate comparisonCPT 30130 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.
Exc Turbinate Partial/Complete
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 30130 |
| Medicaid Fee Schedule | View Medicaid rates for 30130 |
National average reimbursement for CPT 30130 by major payers:
$548.82
$501.28
$566.55
$657.78
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CPT 30130
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Fairfield County LLC, Healthsouth Surgery Center Of Bridgeport, LLC
Surgery Center Of Fairfield County LLC
$4,617.00Published rateNorthwest Community Foot And Ankle Center LLC
$1,802.00Published rateWestern Washington Medical Group, Inc Ps, Western Washington Medical Group Endoscopy Center
Western Washington Medical Group, Inc., P.S.
$1,333.00Published ratePonte Vedra Beach Surgery Center LLC
Surgical Center Of Ponte Vedra B
$890.00Published rateAllison Carder
Deaconess Hospital Inc
$310.89Published rate
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See a sample payer proposalCPT 30130 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30130 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 30130 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 |
|---|---|---|
| 30117-CPT | High | Remove Abnormal Tissue Nose, Surgery To Remove Abnormal Tissue From Inside Of The Nose. Several Techniques May Be Used Such As A Laser. |
| 30120-CPT | Moderate | Exc/Surg Plane-Nose Skin-Rhinophyma |
| 30130-CPT | Moderate | Exc Turbinate Partial/Complete |
| 30140-CPT | Moderate | Submucous Resct Inferior Turbinate Partial Or Comple Any Metho, Submucous Resection Inferior Turbinate Partial Or Complete Any Metho |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30130. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30130 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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