Cost of a Septoplasty Visit
in Kentucky
Reviewed by Momentary Medical Group West PC
Kentucky's healthcare landscape features strong Medicaid expansion coverage alongside competitive insurer markets dominated by Anthem, UHC, and Humana. Septoplasty patients in Kentucky typically pay between $435 and $1,627, with a median out-of-pocket cost of $792 based on negotiated insurance rates. Kentucky maintains 149 active Septoplasty providers across urban centers like Louisville and Lexington as well as rural communities, giving patients multiple options to browse when seeking nasal surgery consultation.
Average
$951
Median
$792
Lowest
$435
Highest
$1,627
Providers
149
3% above national average
Compare Similar Procedures
How does septoplasty compare to related procedures in Kentucky?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $977 | $1,837 | $3,564 | 148 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $386 | $1,784 | $3,244 | 179 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $676 | $1,313 | 184 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $394 | $717 | $1,419 | 153 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $90 | $837 | $1,539 | 233 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $776 | $1,415 | 246 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $995 | $2,038 | 191 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $357 | $679 | 178 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $396 | $673 | $1,220 | 146 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $737 | $1,529 | 182 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $340 | $565 | $1,957 | 145 |
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.
Top-Rated Hospitals in Kentucky
These hospitals in Kentucky are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BEREA, KY
FLEMINGSBURG, KY
LOUISA, KY
LEXINGTON, KY
CYNTHIANA, KY
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 Kentucky
Kentucky's healthcare costs run approximately 5% below national averages, reflecting the state's lower cost of living and competitive insurance markets. The Commonwealth's mix of urban medical centers in Louisville and Lexington alongside rural Appalachian communities creates distinct cost and access patterns for specialty care like septoplasty.
Urban vs. Rural Provider Availability
Louisville and Lexington concentrate most of Kentucky's ENT specialists, while rural counties in eastern Kentucky often lack local septoplasty providers. Patients in Appalachian regions may travel 2-3 hours for specialist care, though some rural hospitals now offer visiting ENT clinics monthly. This geographic disparity can increase total treatment costs when factoring in travel and lodging expenses.
Facility Type and Overhead Costs
Hospital-owned ENT practices in Kentucky typically charge 30-50% more than independent surgical centers due to higher overhead and facility fees. Major health systems like Norton Healthcare, Baptist Health, and UK HealthCare dominate urban markets with premium pricing, while independent practices offer more competitive rates. Ambulatory surgery centers provide cost-effective alternatives for septoplasty procedures compared to hospital outpatient departments.
Insurance Market Competition in Kentucky
Anthem holds the largest market share in Kentucky, followed by UHC and Humana, creating moderate competition that keeps negotiated rates reasonable. The state's Medicaid managed care program contracts with multiple insurers, providing options for expanded coverage recipients. Rural counties often have limited insurer choices on the individual marketplace, which can affect negotiated rates with local providers.
Physician Supply and Demand in Kentucky
Kentucky's 149 active septoplasty providers serve a population of 4.5 million, indicating adequate specialist availability in urban areas but potential shortages in rural regions. The state's medical schools and residency programs help maintain steady physician supply, though many graduates migrate to higher-paying markets. This balanced supply-demand dynamic keeps consultation fees competitive while ensuring reasonable appointment availability.
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 Kentucky
What is the average cost of a Septoplasty visit in Kentucky without insurance?
Does Kentucky Medicaid cover Septoplasty visits?
How do I find an affordable Septoplasty near me in Kentucky?
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 Kentucky?
How does telemedicine affect the cost of seeing a Septoplasty in Kentucky?
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 |