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South Dakota

Cost of a Septoplasty Visit
in South Dakota

Reviewed by Momentary Medical Group West PC

South Dakota's sparse provider network, with only 54 active Septoplasty specialists serving the entire state, creates unique cost dynamics for nasal surgery consultations. Patients typically pay between $90 and $1,627, with a median out-of-pocket cost of $848 for septoplasty evaluations across the Mount Rushmore State. Browse all available Septoplasty providers throughout South Dakota to compare pricing and find the most affordable option for your nasal correction needs.

Average

$855

Median

$848

Lowest

$90

Highest

$1,627

Providers

54

National avg: $921South Dakota: $855

7% below national average

Compare Similar Procedures

How does septoplasty compare to related procedures in South Dakota?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,099$1,965$5,33050
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,769$3,01267
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$95$778$1,31353
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$387$776$1,81153
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$975$6,14677
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$877$2,41866
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,242$2,54156
Tonsillectomy

Tonsillectomy, primary or secondary

42820$197$411$70551
Inguinal Hernia Repair

Inguinal hernia repair

49505$439$769$2,03450
Mastectomy

Partial or simple mastectomy

19301$491$940$2,42353
Carpal Tunnel Surgery

Open carpal tunnel release

64721$296$622$1,06853

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 South Dakota

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

5/5
93% would recommend805 patient surveys
5/5
91% would recommend609 patient surveys
5/5
86% would recommend298 patient surveys
DUNES SURGICAL HOSPITAL

DAKOTA DUNES, SD

5/5
85% would recommend192 patient surveys
5/5
85% would recommend218 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 South Dakota

Septoplasty costs in South Dakota run approximately 7% above the national average, reflecting the state's rural geography and limited specialist competition. The Mount Rushmore State's sparse population density creates unique access challenges, with many patients traveling over 100 miles for ENT specialist care.

Urban vs. Rural Provider Availability

Most of South Dakota's 54 septoplasty specialists concentrate in Sioux Falls and Rapid City, leaving vast rural areas underserved and requiring significant travel for specialist care. Rural patients often face higher effective costs when factoring in travel expenses and time off work for appointments. The eastern part of the state has better access to Twin Cities specialists, while western regions rely heavily on Rapid City providers.

Facility Type and Overhead Costs

Hospital-based ENT clinics at Sanford Health and Avera Health command premium pricing due to higher overhead costs and facility fees. Independent ENT practices, primarily located in Sioux Falls, typically offer more competitive cash-pay rates and flexible payment options. The dominance of these two health systems creates limited pricing competition across much of the state.

Insurance Market Competition in South Dakota

Wellmark BCBS holds significant market share alongside Sanford Health Plan and UnitedHealthcare, creating a moderately competitive but concentrated insurance landscape. This limited insurer competition can result in higher negotiated rates compared to states with more robust insurance markets. Rural areas often have even fewer insurer options, with some counties served by only one or two carriers on the individual market.

Physician Supply and Demand in South Dakota

With only 54 active septoplasty providers serving South Dakota's 900,000 residents, the state faces a moderate shortage of ENT specialists relative to population needs. This limited supply can drive up consultation fees and extend wait times, particularly for non-urgent septoplasty evaluations. The concentration of specialists in Sioux Falls and Rapid City creates geographic access barriers that effectively reduce competition in rural markets.

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 South Dakota

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

Uninsured patients in South Dakota pay between $90 and $1,627 for septoplasty consultations, with a median cost of $848. Independent ENT practices typically offer more affordable cash-pay rates compared to hospital-based clinics. Many providers offer 20-40% self-pay discounts, making the effective cost significantly lower than list prices for patients who pay at the time of service.

Does South Dakota Medicaid cover Septoplasty visits?

South Dakota Medicaid covers septoplasty consultations when medically necessary, though the state did not expand Medicaid, limiting eligibility to very low-income families. Traditional Medicaid recipients can access ENT specialist visits with proper referrals, but provider options are limited due to low reimbursement rates. Many adults fall into a coverage gap where they earn too much for Medicaid but cannot afford private insurance.

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

Compare costs between independent ENT practices and hospital-based clinics, as independents often charge 30-50% less for the same consultation. Ask about cash-pay discounts and payment plans, which are widely available across South Dakota providers. Community health centers in Sioux Falls and Rapid City may offer sliding scale fees based on income, though ENT specialist availability is limited.

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

Initial septoplasty consultations typically cost $848 (median) and include comprehensive nasal examination and treatment planning. Follow-up visits generally cost $200-400 less than initial consultations, focusing on surgical planning or post-operative care. The complexity of your case and need for imaging studies can affect both initial and follow-up visit costs significantly.

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

Yes, both HSA and FSA funds can be used for septoplasty consultations and procedures when deemed medically necessary by your physician. These tax-advantaged accounts cover ENT specialist visits, diagnostic imaging, and surgical procedures related to breathing problems. Keep all receipts and documentation, as purely cosmetic nasal procedures may not qualify for HSA/FSA reimbursement.

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

Telemedicine consultations for nasal breathing issues typically cost 40-60% less than in-person visits, though physical examination is usually required for septoplasty evaluation. South Dakota's rural geography makes telehealth particularly valuable for initial screening and post-operative follow-up visits. Many ENT practices now offer hybrid care models, combining telemedicine consultations with targeted in-person examinations when surgical intervention is being considered.

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