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CPT 30901 Fee Schedule

Last Verified: January 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.

Cntrl Nasal Hemor;Anter;Smple
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Respiratory System

Common Place of Service

11 - Office

23 - Emergency Room

Common Modifiers

None

LT - Left side of body

RT - Right side of body

Complexity LevelLow

National average reimbursement for CPT 30901 by major payers:

bcbs

$163.05

uhc

$161.98

aetna

$194.95

cigna

$231.01

Preview provider-level rates for...
For billing codeCPT 30901
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 30901

United
30901$1370.001881692036 - SAINT BARNABAS OUTPATIENT CENTERS, AMBULATORY SURGERY CENTER222458479 - (NJ) SAINT BARNABAS OUTPATIENT CENTERSNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$750.001184009326 - AMBULATORY CENTER FOR ENDOSCOPY, LLC, HUDSON BERGEN ENDO-SURGICAL CENTER200064962NJAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$400.001184378846 - INTREPID LANE ASC, LLC851832565 - (NY) INTREPID LANE ASC LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$301.001417554155 - CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE, LLC853324771 - (MN) CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE LLCMNAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$564.001205364981 - MERCED AMBULATORY SURGERY CENTER, LLC, UNIVERSITY SURGERY CENTER611845381CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$375.001265488563 - SYRACUSE ASC, LLC, SPECIALTY SURGERY CENTER OF CNY161549512 - (NY) SPECIALTY SURGERY CENTER OF CNYNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$566.001811433410 - OPHTHALMOLOGY SURGERY CENTER OF ORLANDO LLC, ORLANDO OPHTHALMOLOGY SURGERY CENTER814378043FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$574.001275292229 - SCOTTSDALE ENDOSCOPY ASC LLC873952617AZAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$849.001912199258 - SURGICARE SURGICAL ASSOCIATES OF RIDGEWOOD, LLC203728835 - (NJ) SURGICARE SURGICAL ASSOCIATES OF RIDGEWOOD LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$531.001912265653 - BRASELTON ENDOSCOPY CENTER, LLC453369410 - (GA) BRASELTON ENDOSCOPY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$688.001518375641 - NORTH ANAHEIM SURGERY CENTER, LLC364790127CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$285.001275206880 - RINCON ASC, LLC853078316 - (AZ) RINCON ASC LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$118.001376692129 - STUART CARDON, CASCADE FOOT AND ANKLE PLLC205179809 - (WA) STUART CARDON DBA CASCADE FOOT &WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$110.001407335458 - MERRITT ISLAND OUTPATIENT SURGERY CENTER, LLC821391712 - (FL) MERRITT ISLAND OUTPATIENT SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
30901$1708.001780691386 - ORTHOPAEDIC SPECIALISTS SURGI-CENTER, LLC201407302 - (DE) ORTHOPAEDIC SPECIALISTS SURGICENTER LLCDEAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 30901 vs. Other Surgical Procedures on the Respiratory System Codes

The CPT 30901 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 30901 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.

CodeComplexityDescription
30300-CPTModerateRemov.F.B.,Intranasal;Office Type
30310-CPTModerateRemove Fb Intranasal Gen Anes
30560-CPTModerateLysis Intranasal Synechia
30901-CPTLowCntrl Nasal Hemor;Anter;Smple

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30901. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 30901 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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