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Montana

Cost of a Septoplasty Visit
in Montana

Reviewed by Momentary Medical Group West PC

Montana's vast rural landscape creates unique challenges for specialty care access, with patients often traveling significant distances to reach qualified providers. For septoplasty procedures, the state shows negotiated rates that are approximately 90% below national averages, with costs typically ranging from $80 to $920 based on complexity and provider type. Montana maintains nearly 300 active providers offering septoplasty services across the state, giving patients options from Billings to Missoula. Patients can browse all available septoplasty specialists throughout Montana to find the most convenient and affordable option for their needs.

Average

$360

Median

$80

Lowest

$80

Highest

$920

Providers

298

National avg: $921Montana: $360

61% below national average

Compare Similar Procedures

How does septoplasty compare to related procedures in Montana?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$92$1,667$6,87735
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$1,395$6,44249
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$554$2,74448
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$80$985300
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$80$1,124315
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$80$1,231321
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$82$983$4,67942
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$313$58138
Inguinal Hernia Repair

Inguinal hernia repair

49505$378$656$2,32832
Mastectomy

Partial or simple mastectomy

19301$85$675$2,90239
Carpal Tunnel Surgery

Open carpal tunnel release

64721$90$469$97937

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 Montana

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

5/5
77% would recommend184 patient surveys
4/5
84% would recommend276 patient surveys
4/5
83% would recommend394 patient surveys
4/5
83% would recommend171 patient surveys
4/5
82% would recommend337 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 Montana

Montana's healthcare costs run approximately 4% above national averages despite lower overall cost of living, reflecting the challenges of delivering specialized care across the state's vast rural geography. The state's sparse population density requires providers to spread overhead costs across fewer patients, while many specialists concentrate in just a few urban centers.

Urban vs. Rural Provider Availability

Most of Montana's septoplasty specialists practice in Billings, Missoula, Bozeman, and Great Falls, leaving rural patients with limited local options and significant travel requirements. This geographic concentration allows urban practices to maintain higher patient volumes and competitive pricing, while rural patients often face higher costs due to travel expenses and limited provider choice. Some rural hospitals partner with urban specialists to provide periodic clinics, though surgical procedures typically require travel to larger centers.

Facility Type and Overhead Costs

Hospital-based practices like those at Billings Clinic and Providence St. Patrick Hospital often charge separate facility fees that can add $2,000-4,000 to septoplasty costs. Independent surgery centers typically offer more transparent pricing without separate facility fees, though they may have more limited insurance network participation. Montana's rural hospitals often refer complex septoplasty cases to urban centers, concentrating higher-cost procedures in major medical centers.

Insurance Market Competition in Montana

BCBS Montana dominates the state's insurance market, particularly in rural areas where it may be the only available option, reducing competitive pressure on negotiated rates. PacificSource and UHC provide additional options primarily in urban markets, creating more competitive pricing in cities like Missoula and Bozeman. The limited insurer competition in rural Montana often results in higher patient costs and fewer in-network provider options.

Physician Supply and Demand in Montana

With nearly 300 providers offering septoplasty services statewide, Montana maintains reasonable specialist availability relative to its population, though geographic distribution remains uneven. The concentration of specialists in urban areas creates appointment backlogs of 4-8 weeks in major cities, while rural patients may face even longer waits due to travel logistics. This supply-demand imbalance allows urban specialists to maintain premium pricing, particularly for complex revision procedures.

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 Montana

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

Uninsured patients in Montana can expect septoplasty procedures to cost between $80 and $920 based on our analysis of negotiated rates, with a median cost around $80 for basic procedures. Complex revision septoplasty or procedures requiring additional techniques may reach the higher end of this range. Many Montana providers offer self-pay discounts of 20-40% when patients pay upfront, making the actual out-of-pocket cost potentially lower than insurance negotiated rates.

Does Montana Medicaid cover Septoplasty visits?

Montana Medicaid covers septoplasty procedures when medically necessary, typically requiring documentation of failed conservative treatments like nasal sprays or allergy medications. Prior authorization is usually required, and the procedure must be deemed necessary for breathing function rather than cosmetic purposes. Since Montana expanded Medicaid in 2019, more working adults now qualify for coverage of these procedures when meeting medical necessity criteria.

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

Compare prices between hospital-based surgery centers and independent ambulatory facilities, as costs can vary significantly even within the same city. Ask about self-pay discounts if you're uninsured, and consider community health centers that may offer sliding fee scales based on income. Rural patients should factor in travel costs when comparing urban specialists, though some may find better overall value despite the distance.

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

Initial septoplasty consultations typically involve comprehensive evaluation including nasal endoscopy and may require CT imaging, generally costing more than follow-up visits. Follow-up appointments focus on healing progress and symptom improvement, usually involving shorter visits with basic examination. Most insurance plans cover both initial and follow-up visits similarly under specialist copay structures, though uninsured patients may find follow-up visits cost 30-50% less than initial consultations.

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

Both HSA and FSA funds can be used for medically necessary septoplasty procedures and related consultations in Montana. These accounts can cover deductibles, copays, and any out-of-network costs associated with your treatment. Keep all receipts and documentation showing the medical necessity of the procedure, as purely cosmetic rhinoplasty components would not qualify for HSA/FSA reimbursement.

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

While initial septoplasty evaluation requires in-person examination and nasal endoscopy, telemedicine can be useful for follow-up visits and initial screening consultations. Montana's rural geography makes telehealth particularly valuable for reducing travel costs and time for routine follow-ups. Some specialists offer virtual consultations to determine if in-person evaluation is needed, potentially saving patients unnecessary trips to distant urban centers.

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