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North Dakota

Cost of a Septoplasty Visit
in North Dakota

Reviewed by Momentary Medical Group West PC

North Dakota's healthcare system serves a predominantly rural population with limited specialist availability, creating unique cost dynamics for specialized procedures. Septoplasty patients typically pay between $381 and $1,627, with a median out-of-pocket cost of $849 based on negotiated insurance rates across 42 active providers statewide. Despite the state's small population, North Dakota maintains adequate Septoplasty provider coverage, and patients can browse all available specialists throughout the state.

Average

$952

Median

$849

Lowest

$381

Highest

$1,627

Providers

42

National avg: $921North Dakota: $952

4% above national average

Compare Similar Procedures

How does septoplasty compare to related procedures in North Dakota?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,198$1,894$3,47537
Hip Replacement

Total hip replacement (arthroplasty)

27130$91$91$2,019455
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$80$746$1,60941
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$331$752$1,59143
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$691$6,146$6,146470
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$800$1,76755
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$610$1,240$2,59740
Tonsillectomy

Tonsillectomy, primary or secondary

42820$237$399$82038
Inguinal Hernia Repair

Inguinal hernia repair

49505$437$709$1,53739
Mastectomy

Partial or simple mastectomy

19301$478$885$1,82040
Carpal Tunnel Surgery

Open carpal tunnel release

64721$319$596$2,59138

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.

Why Septoplasty Visit Costs Vary Across North Dakota

North Dakota's septoplasty costs run approximately 7% above national averages, reflecting the state's rural geography and limited specialist competition. The concentration of providers in Fargo and Bismarck creates pricing pressures, while rural areas often lack local options entirely.

Urban vs. Rural Provider Availability

Most septoplasty specialists practice in Fargo, Bismarck, and Grand Forks, leaving rural residents to travel significant distances for care. This geographic concentration allows urban providers to maintain higher prices while rural patients face additional costs for travel and lodging. Telemedicine consultations are increasingly common for pre-operative evaluations, though surgery still requires travel to major population centers.

Facility Type and Overhead Costs

Sanford Health and Essentia Health operate most hospital-based ENT practices in North Dakota, typically charging higher facility fees than independent surgery centers. These large health systems offer comprehensive services but often have less flexibility in pricing compared to smaller practices. Ambulatory surgery centers in Fargo and Bismarck provide cost-effective alternatives for outpatient septoplasty procedures.

Insurance Market Competition in North Dakota

The limited presence of major insurers beyond Blue Cross Blue Shield of North Dakota, Sanford Health Plan, and UnitedHealthcare reduces competitive pressure on negotiated rates. This concentrated market allows providers to maintain higher prices, contributing to costs above national averages. Patients often have fewer in-network options compared to more populated states with robust insurer competition.

Physician Supply and Demand in North Dakota

With 42 active septoplasty providers serving the entire state's population of 780,000, North Dakota maintains adequate specialist coverage relative to demand. However, the geographic distribution heavily favors urban areas, creating effective shortages in rural regions. This supply-demand imbalance allows specialists in major cities to maintain premium pricing while rural patients have limited alternatives.

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 North Dakota

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

Uninsured patients typically pay between $381 and $1,627 for septoplasty in North Dakota, with a median cost of $849 based on current negotiated rates. However, many providers offer self-pay discounts of 20-40% for cash payments, potentially reducing these costs significantly. Always ask about payment plans and sliding-scale fees, as many North Dakota practices work with uninsured patients to make procedures more affordable.

Does North Dakota Medicaid cover Septoplasty visits?

Yes, North Dakota expanded Medicaid covers septoplasty when medically necessary, typically requiring documentation of breathing difficulties and failed conservative treatments. Prior authorization is usually required, and patients must use Medicaid-participating providers. Coverage includes both the consultation and surgical procedure when criteria are met, though patients should verify their specific eligibility and provider network options.

How do I find an affordable Septoplasty near me in North Dakota?

Compare costs between hospital-based practices and independent ENT clinics, as pricing can vary by over $1,000 for the same procedure. Consider ambulatory surgery centers in Fargo or Bismarck for potentially lower facility fees compared to hospital outpatient departments. Ask about self-pay discounts, payment plans, and whether community health centers in your area offer ENT services or can provide referrals to cost-effective providers.

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

Initial septoplasty consultations typically cost more than follow-up visits due to comprehensive evaluation and imaging requirements. New patient visits involve detailed history-taking, physical examination, and often nasal endoscopy, while established patient visits focus on specific concerns or post-operative care. Most insurance plans cover both types of visits, though copays may differ between new and established patient appointments.

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

Yes, both HSA and FSA funds can be used for septoplasty consultations and procedures when deemed medically necessary for breathing problems. These tax-advantaged accounts cover deductibles, copays, and out-of-pocket expenses related to ENT care. Keep all receipts and documentation, as purely cosmetic procedures may not qualify, though most septoplasty is performed for functional breathing improvement rather than cosmetic reasons.

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

Telemedicine consultations typically cost 30-50% less than in-person visits and are increasingly used for initial evaluations and post-operative follow-ups. However, septoplasty evaluation usually requires physical examination and nasal endoscopy that cannot be performed remotely. Many North Dakota providers use telemedicine for pre-operative consultations to reduce travel burden for rural patients, then schedule in-person visits only when physical examination or surgery is necessary.

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