Logo
Virginia

Cost of a Septoplasty Visit
in Virginia

Reviewed by Momentary Medical Group West PC

Virginia's healthcare market runs approximately 3% above national averages, with Medicaid expansion helping more residents access specialty care across the Commonwealth. Septoplasty patients typically pay between $432 and $1,297, with a median out-of-pocket cost of $645 based on negotiated insurance rates. Virginia has over 2,600 active Septoplasty providers serving patients from the Tidewater region to the Blue Ridge Mountains, allowing patients to browse all providers statewide.

Average

$792

Median

$646

Lowest

$433

Highest

$1,298

Providers

2,682

National avg: $921Virginia: $792

14% below national average

Compare Similar Procedures

How does septoplasty compare to related procedures in Virginia?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$976$1,473$2,9462,671
Hip Replacement

Total hip replacement (arthroplasty)

27130$920$1,473$2,6592,724
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$360$614$1,1572,789
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$389$587$1,1822,679
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$98$686$1,3553,145
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$404$622$1,2382,859
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$601$956$1,7822,772
Tonsillectomy

Tonsillectomy, primary or secondary

42820$192$307$5892,754
Inguinal Hernia Repair

Inguinal hernia repair

49505$358$554$1,0792,668
Mastectomy

Partial or simple mastectomy

19301$346$626$1,2922,760
Carpal Tunnel Surgery

Open carpal tunnel release

64721$309$464$9202,679

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 Virginia

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

5/5
85% would recommend824 patient surveys
5/5
80% would recommend397 patient surveys
5/5
73% would recommend171 patient surveys
4/5
83% would recommend698 patient surveys
4/5
81% would recommend1,098 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 Virginia

Virginia's healthcare costs run approximately 3% above national averages, driven by the expensive Northern Virginia market and the state's mix of academic medical centers and community providers. The Commonwealth's geography creates distinct cost corridors from high-priced DC suburbs to more affordable rural Appalachian regions.

Urban vs. Rural Provider Availability

Northern Virginia and the Richmond-Petersburg corridor offer abundant ENT specialists, while rural Southwest Virginia and the Eastern Shore face significant provider shortages. This geographic disparity forces some patients to travel hours for septoplasty, though telehealth consultations are increasingly bridging access gaps.

Facility Type and Overhead Costs

Hospital-owned practices at systems like Sentara, Inova, and VCU Health typically charge premium rates due to facility fees and higher overhead costs. Independent ENT groups throughout Virginia often provide more competitive pricing, particularly in mid-sized cities like Lynchburg and Harrisonburg.

Insurance Market Competition in Virginia

Anthem dominates much of Virginia's individual and employer markets, while Optima Health maintains strong presence in Tidewater and UHC serves many federal employees in Northern Virginia. This moderate competition helps contain negotiated rates compared to single-insurer markets, though rural areas often lack plan choices.

Physician Supply and Demand in Virginia

Virginia's 2,600+ active Septoplasty providers represent adequate supply for most metropolitan areas, though rural counties often lack local specialists requiring patient travel. Strong medical schools at UVA and VCU help maintain physician pipeline, keeping wait times reasonable and preventing supply-driven price inflation in most 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 Virginia

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

Uninsured patients in Virginia typically pay between $432 and $1,297 for septoplasty consultations, with a median cost of $645 based on insurance negotiated rates. Many providers offer cash-pay discounts that can reduce these amounts by 20-40%, making the actual self-pay cost often lower than published rates.

Does Virginia Medicaid cover Septoplasty visits?

Yes, Virginia expanded Medicaid in 2019, providing septoplasty coverage for adults earning up to 138% of the federal poverty level. Coverage includes both consultations and surgical procedures when medically necessary, though patients may need referrals from primary care providers depending on their managed care plan.

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

Compare costs between hospital-owned practices and independent ENT groups, as independent providers often charge less due to lower overhead. Consider community health centers in larger Virginia cities, ask about self-pay discounts, and check whether ambulatory surgery centers offer lower facility fees than hospital-based procedures.

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

Initial septoplasty consultations typically cost between $432-$1,297 in Virginia, while follow-up visits are generally 30-50% less expensive. The exact difference depends on the complexity of your case and whether additional procedures like nasal endoscopy are performed during follow-up appointments.

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

Yes, both HSA and FSA funds can pay for septoplasty consultations and procedures in Virginia since they qualify as deductible medical expenses. This includes related costs like imaging studies, medications, and follow-up care, providing significant tax advantages for patients paying out-of-pocket.

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

While physical examination is essential for septoplasty evaluation, many Virginia ENT practices offer lower-cost telehealth consultations for initial symptom review or post-surgical follow-ups. These virtual visits typically cost $100-200 less than in-person appointments, though hands-on nasal examination will eventually be required.

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