Cost of a Septoplasty Visit
in Rhode Island
Reviewed by Momentary Medical Group West PC
Rhode Island's compact geography and concentrated healthcare market in Providence create unique cost patterns for specialist care across the Ocean State. Septoplasty patients typically pay between $555 and $2,160, with a median out-of-pocket cost of $1,052 based on negotiated insurance rates. With 56 active Septoplasty providers serving Rhode Island's 1.1 million residents, patients can browse specialists from Newport to Westerly to find the right match.
Average
$1,256
Median
$1,052
Lowest
$555
Highest
$2,160
Providers
56
36% above national average
Compare Similar Procedures
How does septoplasty compare to related procedures in Rhode Island?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $2,323 | $6,051 | 57 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,978 | $6,060 | 74 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $448 | $960 | $2,135 | 58 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $895 | $2,410 | 58 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $91 | $1,006 | $1,921 | 66 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $884 | $1,752 | 79 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,277 | $3,201 | 60 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $239 | $441 | $742 | 58 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $440 | $858 | $1,521 | 57 |
| Mastectomy Partial or simple mastectomy | 19301 | $509 | $1,087 | $2,642 | 61 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $364 | $877 | $1,957 | 58 |
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.
Why Septoplasty Visit Costs Vary Across Rhode Island
Rhode Island's healthcare costs run approximately 13% above the national average, driven by the state's high cost of living, concentrated hospital market, and proximity to expensive Boston medical centers. The Ocean State's small size means most patients can access Providence's major medical centers within 30 minutes, reducing rural-urban cost disparities seen in larger states.
Urban vs. Rural Provider Availability
Rhode Island's compact geography concentrates most ENT specialists in the Providence metropolitan area, with limited options in South County and coastal communities like Block Island. This concentration means rural patients often travel to Providence for specialty care, but without the extreme distance penalties seen in western states. The state's excellent highway system makes most specialists accessible within an hour's drive from anywhere in Rhode Island.
Facility Type and Overhead Costs
Hospital-owned practices dominate Rhode Island's healthcare landscape, with systems like Lifespan and Care New England employing many ENT specialists and charging correspondingly higher facility fees. Independent ENT practices remain competitive in areas like Warwick and Cranston, often offering 20-30% lower costs than hospital-employed colleagues. Rhode Island's high real estate costs and regulatory requirements create baseline overhead expenses that keep all provider costs elevated compared to regional averages.
Insurance Market Competition in Rhode Island
Blue Cross Blue Shield of Rhode Island's market dominance gives it significant negotiating power, resulting in relatively standardized rates across providers but limited competitive pressure to reduce costs. United Healthcare and Tufts Health Plan provide competition primarily in the employer market, with varying network configurations that can create cost surprises for patients. The state's small size limits the number of competing health systems, reducing the competitive pressure that might otherwise drive down specialist fees.
Physician Supply and Demand in Rhode Island
With 56 active septoplasty providers serving just over one million residents, Rhode Island has adequate ENT specialist availability compared to national standards, helping moderate wait times and costs. The state's proximity to Boston's medical schools ensures a steady pipeline of specialists, though many new graduates migrate to higher-paying markets in Massachusetts or Connecticut. Brown University's medical school helps retain some specialists locally, though the small market size limits opportunities for subspecialization that might drive costs higher.
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 Rhode Island
What is the average cost of a Septoplasty visit in Rhode Island without insurance?
Does Rhode Island Medicaid cover Septoplasty visits?
How do I find an affordable Septoplasty near me in Rhode Island?
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 Rhode Island?
How does telemedicine affect the cost of seeing a Septoplasty in Rhode Island?
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 |