Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 30160 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Full Nose Removal, Surgery To Remove All Of The Nose Including Cartilage And Soft Tissue Due To An Injury Tumor Or Disease. The Nose May Be Reconstructed In A Separate Surgery.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 30160 |
| Medicaid Fee Schedule | View Medicaid rates for 30160 |
National average reimbursement for CPT 30160 by major payers:
$1,031.60
$1,032.46
$1,105.77
$1,310.96
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 30160.
CPT 30160
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Fort Worth
Texas Health Harris Methodist Hospital Southwest Fort Worth
$13,172.00Published rateBsc Shea Park LLC
$3,935.00Published rateMiami Surgery Center LLC, Surgery Center At Doral
Miami Surgery Center LLC
$3,275.00Published rateSchaumburg Surgery Center, LLC
Schaumburg Surgery Center LLC
$2,797.00Published rateCummins Womens Healthcare LLC, Elizabeth Cummins Md
Cummins Womens Healthcare, LLC
$731.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 30160 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30160 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 30160 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 |
|---|---|---|
| 30150-CPT | Moderate | Partial Nose Removal, Surgery To Remove Part Of The Nose Including Cartilage And Soft Tissue Due To An Injury Tumor Or Disease. The Nose May Be Reconstructed In A Separate Surgery. |
| 30160-CPT | High | Full Nose Removal, Surgery To Remove All Of The Nose Including Cartilage And Soft Tissue Due To An Injury Tumor Or Disease. The Nose May Be Reconstructed In A Separate Surgery. |
| 30400-CPT | High | Plastic Surgery On The Nose, Surgery To Reshape The Nose. A Simple Procedure May Lift The Tip Or Remove Excess Fatty Tissue. A More Complex Procedure Can Repair A Damaged Septum And Reshape Internal Nose Bones By Filing Or Breaking Them. |
| 30410-CPT | High | Plastic Surgery On The Nose, Surgery To Reshape The Nose. A Simple Procedure May Lift The Tip Or Remove Excess Fatty Tissue. A More Complex Procedure Can Repair A Damaged Septum And Reshape Internal Nose Bones By Filing Or Breaking Them. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30160 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 30160) and we'll show you how you compare in 15 minutes or less.