CPT 30520 Fee Schedule
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.
| 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 • 51 - Multiple procedures • SG - Scene to Hospital ESRD facility |
| Complexity Level | Moderate |
National average reimbursement for CPT 30520 by major payers:
$806.14
$813.31
$939.04
$1,084.51
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 30520 | ||||||
United | 30520 | $682.38 | 1275633604 - EL PASO VAMC | 742934770 | TX | General Acute Care Hospital (282N00000X) |
United | 30520 | $1578.45 | 1255500542 - PROLIANCE SURGEONS, INC., P.S., PROLIANCE SURGEONS BELLEVUE EAR NOSE AND THROAT AND SOUND HEARING | 911606533 - (WA) PROLIANCE SURGEONS, INC., P.S. | WA | Otolaryngology Physician (207Y00000X) |
United | 30520 | $1220.98 | 1003105867 - TASNEEM SHIKARY | 202305158 - TRIHEALTH G, LLC | WA | Otolaryngology Physician (207Y00000X) |
United | 30520 | $847.21 | 1760432868 - JEFFREY BUNN | 910867604 - (WA) COLUMBIA SURGICAL SPECIALISTS, P.S. | WA | Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X) |
United | 30520 | $1800.00 | 1275938102 - FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS, CASCADE OUTPATIENT SPINE CENTER | 911416044 - (WA) FOURTH CORNER NEUROSURGICAL ASSOCIATES, INC. | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 30520 | $1523.14 | 1831138783 - PROLIANCE SURGEONS, INC., P.S., PROLIANCE SPORTS THERAPY AND REHABILITATION OF BELLEVUE | 911606533 - (WA) PROLIANCE SURGEONS, INC., P.S. | WA | Multi-Specialty Group (193200000X) |
United | 30520 | $1578.45 | 1407223985 - PROLIANCE SURGEONS, INC., P.S., PROLIANCE EAR NOSE THROAT AND ALLERGY ASSOCIATES | 911606533 - (WA) PROLIANCE SURGEONS, INC., P.S. | WA | Otolaryngology Physician (207Y00000X) |
United | 30520 | $1014.19 | 1326088014 - JEFFREY EVANS | 472414189 | WA | Urology Physician (208800000X) |
United | 30520 | $1378.02 | 1912945791 - DAVID REED | 271209674 | WA | Urology Physician (208800000X) |
United | 30520 | $1070.61 | 1043702186 - JEFFREY FALCO | 911072626 - (WA) SPOKANE VALLEY EAR, NOSE & THROAT, P.S. | GA | Otolaryngology Physician (207Y00000X) |
United | 30520 | $747.89 | 1366692766 - WA SPOK DH CRNA LLC | 263301643 - (WA) WA SPOK DH CRNA LLC | WA | Multi-Specialty Group (193200000X) |
United | 30520 | $1000.00 | 1821101197 - OLYMPIA MULTI-SPECIALTY CLINIC AMBULATORY PROCEDURES CNTR PLLC | 911703278 - (WA) OLYMPIA MULTISPECIALTY CLINIC AMBULATORY PROCEDURES CNTR PLLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 30520 | $2168.00 | 1447932769 - PRO SURGERY CENTER LLC | 931484998 - (WA) PRO SURGERY CENTER LLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 30520 | $1738.86 | 1245409531 - SALLY NEWBROUGH | 910369070 - (WA) THE POLYCLINIC, PLLC | WA | Allergy & Immunology Physician (207K00000X) |
United | 30520 | $871.73 | 1760479281 - DENNIS GASKILL | 753186720 | WA | Urology Physician (208800000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 30520 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30520 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 30520 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 |
|---|---|---|
| 30410-CPT | High | Rhinoplasty, Primary; Complete, External Parts Including Bony Pyramid, Lateral & Alar Cartilages, &/Or Elevation Of Nasal Tip- Deny Cos/N09 |
| 30450-CPT | High | Rhinoplasty,2ndary;Major Revision |
| 30462-CPT | High | Rhinoplasty For Nasal Deformity Secondary To Congenital Cleft Lip And/Or Palate, Including Columellar Lengthening; Tip, Septum, Osteotomies |
| 30520-CPT | Moderate | Septoplasty W/Wo Cartilage Implant |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30520 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 30520) and we'll show you how you compare in 15 minutes or less.