Logo
Illinois

Cost of a Septoplasty Visit
in Illinois

Reviewed by Momentary Medical Group West PC

Illinois's healthcare costs run approximately 10% above national averages, driven largely by the Chicago metropolitan area's concentration of major medical centers and specialty practices. Septoplasty patients typically pay between $511.70 and $1,288.87, with a median out-of-pocket cost of $682.72 across the state's 3,659 active providers. Browse all Septoplasty specialists throughout Illinois to compare rates and find the most affordable option for your specific insurance plan.

Average

$828

Median

$683

Lowest

$512

Highest

$1,289

Providers

3,659

National avg: $921Illinois: $828

10% below national average

Compare Similar Procedures

How does septoplasty compare to related procedures in Illinois?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$85$1,778$3,7894,831
Hip Replacement

Total hip replacement (arthroplasty)

27130$85$1,664$3,7074,966
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$418$694$1,2003,854
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$90$655$1,8954,839
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$85$943$1,9844,987
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$857$1,6546,834
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,214$2,6655,065
Tonsillectomy

Tonsillectomy, primary or secondary

42820$253$339$5963,648
Inguinal Hernia Repair

Inguinal hernia repair

49505$90$707$1,5694,730
Mastectomy

Partial or simple mastectomy

19301$90$740$1,8464,743
Carpal Tunnel Surgery

Open carpal tunnel release

64721$372$594$1,0703,849

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 30520Septoplasty 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.

Top-Rated Hospitals in Illinois

These hospitals in Illinois are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
96% would recommend133 patient surveys
5/5
91% would recommend122 patient surveys
MEMORIAL HOSPITAL

CARTHAGE, IL

5/5
87% would recommend114 patient surveys
5/5
79% would recommend117 patient surveys
5/5
78% would recommend107 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Septoplasty Visit Costs Vary Across Illinois

Illinois healthcare costs run approximately 10% above national averages, primarily driven by the Chicago metropolitan area's concentration of academic medical centers and specialty practices. The state's diverse geography creates significant cost variations between urban centers like Chicago and rural communities in central and southern Illinois.

Urban vs. Rural Provider Availability

The Chicago metropolitan area contains the majority of Illinois's ENT specialists, creating a competitive market with more pricing options but higher overall costs due to urban overhead expenses. Rural areas in central and southern Illinois have fewer septoplasty providers, often requiring patients to travel to larger cities like Springfield, Peoria, or Rockford for specialized care. This geographic disparity can affect both access and pricing, with rural patients sometimes facing higher travel costs but lower procedure fees.

Facility Type and Overhead Costs

Illinois's healthcare landscape includes major academic centers like Northwestern Medicine, University of Chicago Medicine, and Rush University Medical Center, which typically charge premium rates for specialist consultations. Independent ENT practices and community hospital-based clinics often offer more competitive pricing, particularly in suburban markets like DuPage County and Lake County. Hospital-owned practices generally have higher overhead costs that translate to higher patient charges.

Insurance Market Competition in Illinois

The state's insurance market is dominated by BCBS Illinois, UHC, and Aetna, creating moderate competition that helps control negotiated rates for specialist services. This concentrated market structure provides stability but may limit pricing competition compared to states with more diverse insurer participation. Rural areas often have fewer insurance options, potentially affecting negotiated rates with local providers.

Physician Supply and Demand in Illinois

With 3,659 active Septoplasty providers statewide, Illinois has a relatively robust supply of ENT specialists, particularly concentrated in the Chicago area and other major metropolitan regions. This provider density helps maintain competitive pricing in urban markets while potentially creating access challenges in rural counties. The adequate provider supply generally keeps wait times reasonable and allows patients to shop around for the best combination of cost and convenience.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Septoplasty Costs in Illinois

What is the average cost of a Septoplasty visit in Illinois without insurance?

Uninsured patients in Illinois typically pay between $511.70 and $1,288.87 for septoplasty consultations, with a median cost of $682.72. These rates reflect negotiated prices that insurers pay, so self-pay patients may be able to negotiate similar or lower rates, especially with cash-pay discounts. Many Illinois ENT practices offer payment plans or sliding-scale fees for uninsured patients to make care more accessible.

Does Illinois Medicaid cover Septoplasty visits?

Yes, Illinois expanded Medicaid covers septoplasty consultations and procedures when medically necessary for breathing problems or chronic sinus conditions. Patients may need referrals from primary care providers and documentation of conservative treatment attempts before approval. While coverage is comprehensive, appointment availability may be limited as not all ENT specialists accept Medicaid patients.

How do I find an affordable Septoplasty near me in Illinois?

Compare costs across different facility types, as independent ENT practices often charge less than hospital-based clinics in Illinois. Look for community health centers or federally qualified health centers that offer specialist services at reduced rates. Ask about cash-pay discounts, which can reduce costs by 20-40%, and consider traveling to suburban or rural areas where overhead costs may be lower.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial septoplasty consultations typically cost between $511.70 and $1,288.87 in Illinois, as these involve comprehensive evaluations and potential imaging studies. Follow-up visits are generally less expensive, usually ranging from $200-500 depending on the complexity of care and whether additional procedures are performed. The specific cost difference depends on your provider and insurance plan structure.

Can I use an HSA or FSA to pay for a Septoplasty visit in Illinois?

Yes, both HSA and FSA funds can be used to pay for septoplasty consultations and procedures in Illinois, as these are considered qualified medical expenses. Keep all receipts and documentation for tax purposes, and remember that cosmetic aspects of nasal surgery may not be eligible. Consult your HSA/FSA administrator if you're unsure about coverage for specific services.

How does telemedicine affect the cost of seeing a Septoplasty in Illinois?

While telemedicine can't replace in-person septoplasty evaluations that require physical examination and potentially imaging, some Illinois ENT practices offer virtual consultations for initial assessments or follow-up care. These virtual visits typically cost $100-300, significantly less than in-office consultations. However, most patients will still need an in-person visit for definitive diagnosis and treatment planning.

Click a state to compare costs

Average Visit Cost

$343
$1,865

Office visit (CPT 30520)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $95$4,419
$1,865
2Massachusetts
Range: $456$2,788
$1,415
3Nebraska
Range: $765$1,627
$1,273
4Wyoming
Range: $714$1,996
$1,260
5Rhode Island
Range: $555$2,160
$1,256
6Georgia
Range: $499$2,190
$1,213
7Iowa
Range: $549$1,627
$1,201
8New Hampshire
Range: $563$1,719
$1,178
9Maine
Range: $811$1,346
$1,156
10Connecticut
Range: $432$2,160
$1,124
11Delaware
Range: $449$2,160
$1,112
12Pennsylvania
Range: $434$2,160
$1,104
13New York
Range: $466$2,160
$1,084
14District of Columbia
Range: $461$1,588
$1,036
15California
Range: $80$2,160
$1,020
16North Carolina
Range: $500$1,710
$1,012
17New Mexico
Range: $566$1,494
$996
18Colorado
Range: $526$1,567
$983
19Utah
Range: $90$1,485
$981
20West Virginia
Range: $461$1,698
$980
21Vermont
Range: $500$1,577
$966
22North Dakota
Range: $381$1,627
$952
23Kentucky
Range: $435$1,627
$951
24Washington
Range: $80$1,793
$910
25South Carolina
Range: $466$1,422
$856
26South Dakota
Range: $90$1,627
$855
27Oregon
Range: $80$1,641
$855
28Minnesota
Range: $91$1,627
$842
29Illinois
Range: $512$1,289
$828
30Maryland
Range: $461$1,395
$824
31Alabama
Range: $433$1,315
$812
32Mississippi
Range: $471$1,357
$808
33Tennessee
Range: $516$1,155
$801
34Arkansas
Range: $433$1,074
$798
35New Jersey
Range: $406$1,411
$794
36Virginia
Range: $433$1,298
$792
37Missouri
Range: $573$954
$783
38Oklahoma
Range: $500$1,200
$774
39Kansas
Range: $569$981
$772
40Hawaii
Range: $80$1,376
$771
41Idaho
Range: $80$1,422
$762
42Indiana
Range: $90$1,472
$748
43Michigan
Range: $532$1,072
$746
44Nevada
Range: $463$1,103
$731
45Louisiana
Range: $399$1,133
$723
46Arizona
Range: $498$1,072
$701
47Ohio
Range: $357$1,116
$688
48Texas
Range: $90$1,309
$679
49Alaska
Range: $80$1,251
$470
50Montana
Range: $80$920
$360
51Florida
Range: $35$938
$343
Septoplasty in Other States