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Vermont

Cost of a Septoplasty Visit
in Vermont

Reviewed by Momentary Medical Group West PC

Vermont's small but concentrated healthcare market, dominated by a few major health systems, creates unique pricing dynamics for specialty care across the Green Mountain State. Septoplasty patients typically pay between $499.83 and $1,577.42, with a median out-of-pocket cost of $820.89 based on negotiated insurance rates. Vermont maintains 327 active Septoplasty providers across its rural and urban centers, offering patients multiple options to browse all providers throughout the state.

Average

$966

Median

$821

Lowest

$500

Highest

$1,577

Providers

327

National avg: $921Vermont: $966

5% above national average

Compare Similar Procedures

How does septoplasty compare to related procedures in Vermont?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$958$1,455$3,286326
Hip Replacement

Total hip replacement (arthroplasty)

27130$959$1,457$3,289329
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$403$643$1,548325
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$410$629$1,326331
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$492$746$1,597331
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$449$682$1,463337
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$678$1,043$2,143325
Tonsillectomy

Tonsillectomy, primary or secondary

42820$220$342$693324
Inguinal Hernia Repair

Inguinal hernia repair

49505$391$596$1,271325
Mastectomy

Partial or simple mastectomy

19301$491$749$1,593324
Carpal Tunnel Surgery

Open carpal tunnel release

64721$338$519$1,053324

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 Vermont

Vermont's healthcare costs run approximately 15% above national averages, driven by the state's rural geography and limited provider competition. The concentration of specialty care in the Burlington area creates cost disparities between urban and rural regions throughout the Green Mountain State.

Urban vs. Rural Provider Availability

Burlington and its surrounding Chittenden County house most of Vermont's Septoplasty specialists, while rural areas like the Northeast Kingdom rely on traveling specialists or telemedicine consultations. This geographic concentration allows Burlington providers to command higher fees, while rural practices may offer more competitive pricing to attract patients from wide service areas.

Facility Type and Overhead Costs

The University of Vermont Medical Center and other hospital-based systems dominate Vermont's specialty care market, typically charging facility fees that independent practices cannot. Smaller ENT practices in communities like Brattleboro or Rutland often provide more affordable options without sacrificing quality of care.

Insurance Market Competition in Vermont

With primarily BCBS Vermont and MVP Health Care controlling the market, limited insurer competition reduces negotiating pressure on provider rates. This concentrated market structure contributes to Vermont's higher-than-average specialist costs compared to states with more competitive insurance landscapes.

Physician Supply and Demand in Vermont

Vermont's 327 active Septoplasty providers serve a population of just over 640,000, creating adequate supply in urban areas but potential access challenges in rural regions. This geographic maldistribution allows specialists in underserved areas to maintain higher prices due to limited local competition and travel barriers for patients.

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 Vermont

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

Uninsured patients in Vermont can expect to pay between $499.83 and $1,577.42 for a Septoplasty visit, with the median cost around $820.89. Many providers offer cash-pay discounts of 10-30% for uninsured patients. Independent practices often provide more affordable options than hospital-based specialty clinics.

Does Vermont Medicaid cover Septoplasty visits?

Yes, Vermont's expanded Medicaid program covers medically necessary Septoplasty consultations with minimal copays for eligible patients. However, finding participating specialists can require patience, as some providers limit Medicaid appointments due to reimbursement rates. Prior authorization may be required for certain procedures or advanced diagnostic testing.

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

Compare costs between hospital-based specialists and independent ENT practices, as independent providers often charge 20-40% less for the same services. Consider rural practices outside Burlington for potentially lower fees, and ask about cash-pay discounts if you're uninsured. Community health centers may also offer sliding-scale fees based on income.

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

Initial Septoplasty consultations typically cost between $499.83-$1,577.42 in Vermont, while follow-up visits generally range from $200-$600 depending on complexity. New patient visits require more time for history-taking and examination, justifying the higher cost. Follow-up appointments for post-surgical care or treatment monitoring are usually shorter and less expensive.

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

Yes, both HSA and FSA funds can be used for medically necessary Septoplasty consultations and treatments in Vermont. Keep receipts for reimbursement, and note that cosmetic procedures may not qualify for tax-advantaged account usage. Consult your account administrator about specific coverage rules for your plan.

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

Telemedicine consultations with Vermont Septoplasty specialists typically cost 30-50% less than in-person visits, ranging from $150-$400 for initial evaluations. However, physical examination limitations mean most patients eventually need in-person follow-up for definitive diagnosis and treatment. Vermont's rural geography makes telehealth particularly valuable for initial consultations and post-operative care.

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