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See a sample rate comparisonHealthcare 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 | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 30801 |
| Medicaid Fee Schedule | View Medicaid rates for 30801 |
National average reimbursement for CPT 30801 by major payers:

$258.69

$281.09

$308.14

$352.44
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Deaconess Hospital Inc
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 30801 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30801 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 30801 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 |
|---|---|---|
| 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 |
| 30801-CPT | Moderate | Ablate Inf Turbinate Superf, Ablation Soft Tissue Of Inferior Turbinates Unilateral Or Bilateral Any Method Eg Electrocautery Radiofrequency Ablation Or Tissue Volume Reduction Superficial |
| 30802-CPT | Moderate | Ablate Inf Turbinate Submuc, Ablation Soft Tissue Of Inferior Turbinates Unilateral Or Bilateral Any Method Eg Electrocautery Radiofrequency Ablation Or Tissue Volume Reduction Intramural Ie Submucosal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30801. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30801 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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