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Missouri

Cost of a Septoplasty Visit
in Missouri

Reviewed by Momentary Medical Group West PC

Missouri's healthcare market operates at approximately 5% below national cost averages, creating favorable pricing conditions for surgical procedures across the state's diverse provider network. Septoplasty patients typically pay between $572.92 and $953.81, with a median out-of-pocket cost of $821.37 based on negotiated insurance rates from over 5,000 active providers. Missouri maintains a robust network of ENT specialists and surgical facilities, allowing patients to browse multiple Septoplasty providers throughout the state's metropolitan and rural regions.

Average

$783

Median

$821

Lowest

$573

Highest

$954

Providers

5,176

National avg: $921Missouri: $783

15% below national average

Compare Similar Procedures

How does septoplasty compare to related procedures in Missouri?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,272$1,915$2,2465,186
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,274$1,917$2,2495,286
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$502$728$8115,258
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$507$761$8925,187
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$623$1,127$1,3005,243
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$551$966$1,1855,445
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$822$1,163$1,3755,264
Tonsillectomy

Tonsillectomy, primary or secondary

42820$268$480$5595,242
Inguinal Hernia Repair

Inguinal hernia repair

49505$493$892$1,0275,182
Mastectomy

Partial or simple mastectomy

19301$516$824$9465,250
Carpal Tunnel Surgery

Open carpal tunnel release

64721$402$614$7265,183

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 Missouri

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

5/5
83% would recommend101 patient surveys
5/5
82% would recommend145 patient surveys
5/5
81% would recommend153 patient surveys
5/5
74% would recommend127 patient surveys
HEDRICK MEDICAL CENTER

CHILLICOTHE, MO

5/5
70% would recommend106 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 Missouri

Missouri's healthcare costs run approximately 5% below national averages, reflecting the state's moderate cost of living and competitive provider market spanning from major metropolitan areas to agricultural communities. The state's central location and diverse economy create unique healthcare dynamics affecting septoplasty pricing and access patterns.

Urban vs. Rural Provider Availability

Missouri's urban centers like Kansas City and St. Louis concentrate most ENT specialists, while rural counties often require 60-90 minute drives to reach septoplasty surgeons. This geographic disparity creates higher effective costs for rural patients due to travel expenses, though base procedure fees may be lower at rural hospitals and surgical centers.

Facility Type and Overhead Costs

Hospital-based outpatient surgery centers typically charge higher facility fees than independent ambulatory surgical centers throughout Missouri. Major health systems like BJC HealthCare, Mercy, and Saint Luke's often have higher overhead costs reflected in septoplasty pricing, while independent ENT practices frequently offer more competitive self-pay rates.

Insurance Market Competition in Missouri

Anthem, UHC, and Cigna dominate Missouri's commercial insurance market, creating moderate competition that keeps negotiated rates relatively stable across providers. The competitive landscape varies by region, with St. Louis and Kansas City markets offering more insurer choices than rural areas, affecting both network adequacy and pricing negotiations.

Physician Supply and Demand in Missouri

With over 5,000 active providers offering septoplasty services, Missouri maintains adequate specialist supply in urban areas while experiencing shortages in rural regions. This geographic imbalance creates longer wait times but potentially lower costs in metropolitan areas, while rural providers may offer quicker access at premium pricing due to limited competition.

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 Missouri

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

Uninsured patients in Missouri typically pay between $572.92 and $953.81 for septoplasty procedures, with a median cost of $821.37 based on negotiated insurance rates. Many providers offer cash-pay discounts of 15-30% for self-pay patients, potentially reducing costs to $575-650 for the median procedure. Rural providers may offer lower base rates but fewer payment plan options compared to urban practices.

Does Missouri Medicaid cover Septoplasty visits?

Missouri has not expanded Medicaid, limiting coverage to pregnant women, children, and disabled adults meeting strict income requirements, which excludes many working-age adults who might benefit from septoplasty. For eligible recipients, Missouri Medicaid typically covers medically necessary septoplasty procedures when conservative treatments have failed and documentation supports functional impairment. Prior authorization is usually required, and patients should confirm their surgeon accepts Missouri Medicaid before scheduling consultations.

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

Compare costs across different facility types, as independent surgical centers often charge less than hospital-based outpatient departments in Missouri. Ask about self-pay discounts, payment plans, and sliding fee scales, particularly at community health centers and independent ENT practices. Consider traveling to different regions within Missouri, as rural providers may offer lower base rates despite potentially higher travel costs.

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

Initial septoplasty consultations typically cost $572.92-953.81 and involve comprehensive evaluation, imaging review, and surgical planning discussions. Follow-up visits for post-operative care or treatment monitoring generally cost significantly less, usually ranging $150-300 depending on the complexity of care required. Most insurance plans cover follow-up visits at standard specialist copay rates rather than applying deductibles.

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

Yes, septoplasty consultations and procedures qualify as eligible medical expenses for both HSA and FSA accounts in Missouri. You can use these pre-tax dollars for surgeon fees, facility charges, anesthesia costs, and related medical expenses like prescribed medications or medical supplies. Keep all receipts and documentation for tax purposes, as the IRS may require proof that expenses were medically necessary.

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

Telemedicine consultations for septoplasty typically cost $100-200, significantly less than in-person visits, though physical examination is usually required for surgical planning. Missouri providers increasingly offer virtual follow-up appointments for post-operative care, reducing travel costs and time commitments for patients. However, initial consultations and pre-operative evaluations generally require in-person visits for proper nasal examination and surgical assessment.

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