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See a sample rate comparisonCPT 30520 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.
Septoplasty Or Submucous Resec, Septoplasty Or Submucous Resection With Or Withoutcartilage Scoring Contouring Or Replacement Withgraft
| 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 |
| Medicare Fee Schedule | View Medicare rates for 30520 |
| Medicaid Fee Schedule | View Medicaid rates for 30520 |
National average reimbursement for CPT 30520 by major payers:
$806.14
$813.31
$939.04
$1,062.16
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CPT 30520
5 of 25 sample ratesHigher to lower in this preview
Pro Surgery Center LLC
$2,168.00Published rateMathew Sorensen
The Association Of Chrmc And University Physicians
$1,665.77Published rateProvidence Health & Services-Wa, Providence Physician Group
$1,506.54Published rateNorthwest Medical Specialties PLLC
Northwest Medical Specialties, PLLC
$1,161.71Published rateTri-State Memorial Hospital, Tri State Medical Clinics
$658.70Published rate
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See a sample payer proposalCPT 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 | 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. |
| 30450-CPT | High | Revise Nose Plastic Surgery, Surgery To Revise A Previous Nose Reshaping Surgery. This Can Involve Minor Tissue Removal Or More Major Bone Reshaping. |
| 30462-CPT | High | Surgery For Misshapen Nose, Surgery To Correct A Misshapen Nose And Reshape A Cleft Lip Or Palate. The Procedure May Be Limited To The Nose Tip Or Include Reshaping The Bones Inside The Nose. |
| 30520-CPT | Moderate | Septoplasty Or Submucous Resec, Septoplasty Or Submucous Resection With Or Withoutcartilage Scoring Contouring Or Replacement Withgraft |
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.
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