Cost of a Septoplasty Visit
in District of Columbia
Reviewed by Momentary Medical Group West PC
District of Columbia's concentrated healthcare market features some of the nation's highest specialist access rates, with federal employees and dense urban population driving robust medical infrastructure. Septoplasty patients typically pay between $461 and $1,588, with a median out-of-pocket cost of $1,057 based on negotiated insurance rates. With 311 active Septoplasty providers throughout the District, patients have substantial choice when browsing all available specialists in the area.
Average
$1,036
Median
$1,057
Lowest
$461
Highest
$1,588
Providers
311
13% above national average
Compare Similar Procedures
How does septoplasty compare to related procedures in District of Columbia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,061 | $2,323 | $3,475 | 309 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,045 | $2,286 | $3,311 | 318 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $414 | $887 | $1,311 | 318 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $443 | $927 | $1,591 | 314 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $511 | $1,109 | $1,618 | 326 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $413 | $1,016 | $1,405 | 334 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $647 | $1,525 | $3,201 | 348 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $220 | $479 | $681 | 315 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $381 | $901 | $1,221 | 308 |
| Mastectomy Partial or simple mastectomy | 19301 | $434 | $1,066 | $1,611 | 317 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $328 | $739 | $1,686 | 310 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 30520 — Septoplasty or submucous resection). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 30520 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 30520 (Septoplasty or submucous resection), as mandated by the CMS Price Transparency Rule.
What CPT 30520 covers: the provider's professional fee for septoplasty. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Septoplasty Visit Costs Vary Across District of Columbia
District of Columbia's healthcare costs run approximately 20% above national averages, driven by high real estate costs, federal workforce concentration, and limited geographic competition. The compact urban area creates unique market dynamics where hospital systems compete intensely for the same patient population while facing identical overhead pressures.
Urban vs. Rural Provider Availability
The District's entirely urban geography eliminates rural access disparities but concentrates all specialty care within a small geographic area, creating intense competition among providers. Patients benefit from multiple ENT practices within short distances, though parking and traffic considerations affect total visit costs. Proximity to Maryland and Virginia suburbs expands effective provider networks for residents willing to cross jurisdictions.
Facility Type and Overhead Costs
Hospital-owned ENT practices at MedStar Washington, GWU Hospital, and Children's National typically charge facility fees that independent practices avoid, sometimes doubling total visit costs. Ambulatory surgery centers throughout the District offer cost advantages over hospital outpatient departments for septoplasty procedures. Commercial real estate costs in downtown Washington drive higher overhead expenses that ultimately impact patient pricing across all facility types.
Insurance Market Competition in District of Columbia
CareFirst BCBS maintains dominant market share alongside UHC and Aetna, with federal employee health benefits adding complexity through dozens of plan options. Limited insurer competition reduces negotiating pressure on provider rates, contributing to above-average pricing throughout the region. Federal employee concentration creates unique dynamics where providers must navigate multiple FEHB plan requirements alongside commercial insurance networks.
Physician Supply and Demand in District of Columbia
With 311 active septoplasty providers serving a population under 700,000, the District enjoys exceptional specialist density that should theoretically moderate pricing through competition. High physician concentration reflects the area's role as a regional medical hub serving Maryland and Virginia suburbs, spreading demand across jurisdictional boundaries. Strong specialist supply enables patients to comparison shop and potentially negotiate better self-pay rates or shorter wait times.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Septoplasty Costs in District of Columbia
What is the average cost of a Septoplasty visit in District of Columbia without insurance?
Does District of Columbia Medicaid cover Septoplasty visits?
How do I find an affordable Septoplasty near me in District of Columbia?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Septoplasty visit in District of Columbia?
How does telemedicine affect the cost of seeing a Septoplasty in District of Columbia?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 30520)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $95 – $4,419 | $1,865 |
| 2 | Massachusetts Range: $456 – $2,788 | $1,415 |
| 3 | Nebraska Range: $765 – $1,627 | $1,273 |
| 4 | Wyoming Range: $714 – $1,996 | $1,260 |
| 5 | Rhode Island Range: $555 – $2,160 | $1,256 |
| 6 | Georgia Range: $499 – $2,190 | $1,213 |
| 7 | Iowa Range: $549 – $1,627 | $1,201 |
| 8 | New Hampshire Range: $563 – $1,719 | $1,178 |
| 9 | Maine Range: $811 – $1,346 | $1,156 |
| 10 | Connecticut Range: $432 – $2,160 | $1,124 |
| 11 | Delaware Range: $449 – $2,160 | $1,112 |
| 12 | Pennsylvania Range: $434 – $2,160 | $1,104 |
| 13 | New York Range: $466 – $2,160 | $1,084 |
| 14 | District of Columbia Range: $461 – $1,588 | $1,036 |
| 15 | California Range: $80 – $2,160 | $1,020 |
| 16 | North Carolina Range: $500 – $1,710 | $1,012 |
| 17 | New Mexico Range: $566 – $1,494 | $996 |
| 18 | Colorado Range: $526 – $1,567 | $983 |
| 19 | Utah Range: $90 – $1,485 | $981 |
| 20 | West Virginia Range: $461 – $1,698 | $980 |
| 21 | Vermont Range: $500 – $1,577 | $966 |
| 22 | North Dakota Range: $381 – $1,627 | $952 |
| 23 | Kentucky Range: $435 – $1,627 | $951 |
| 24 | Washington Range: $80 – $1,793 | $910 |
| 25 | South Carolina Range: $466 – $1,422 | $856 |
| 26 | South Dakota Range: $90 – $1,627 | $855 |
| 27 | Oregon Range: $80 – $1,641 | $855 |
| 28 | Minnesota Range: $91 – $1,627 | $842 |
| 29 | Illinois Range: $512 – $1,289 | $828 |
| 30 | Maryland Range: $461 – $1,395 | $824 |
| 31 | Alabama Range: $433 – $1,315 | $812 |
| 32 | Mississippi Range: $471 – $1,357 | $808 |
| 33 | Tennessee Range: $516 – $1,155 | $801 |
| 34 | Arkansas Range: $433 – $1,074 | $798 |
| 35 | New Jersey Range: $406 – $1,411 | $794 |
| 36 | Virginia Range: $433 – $1,298 | $792 |
| 37 | Missouri Range: $573 – $954 | $783 |
| 38 | Oklahoma Range: $500 – $1,200 | $774 |
| 39 | Kansas Range: $569 – $981 | $772 |
| 40 | Hawaii Range: $80 – $1,376 | $771 |
| 41 | Idaho Range: $80 – $1,422 | $762 |
| 42 | Indiana Range: $90 – $1,472 | $748 |
| 43 | Michigan Range: $532 – $1,072 | $746 |
| 44 | Nevada Range: $463 – $1,103 | $731 |
| 45 | Louisiana Range: $399 – $1,133 | $723 |
| 46 | Arizona Range: $498 – $1,072 | $701 |
| 47 | Ohio Range: $357 – $1,116 | $688 |
| 48 | Texas Range: $90 – $1,309 | $679 |
| 49 | Alaska Range: $80 – $1,251 | $470 |
| 50 | Montana Range: $80 – $920 | $360 |
| 51 | Florida Range: $35 – $938 | $343 |