Cost of a Septoplasty Visit
in Wisconsin
Reviewed by Momentary Medical Group West PC
Wisconsin's robust healthcare network includes major academic medical centers and rural hospitals that serve the state's 5.9 million residents across diverse geographic regions. Septoplasty patients typically pay between $95 and $4,419, with a median out-of-pocket cost of $1,082 based on negotiated insurance rates. With over 1,100 active Septoplasty providers throughout Wisconsin, patients can browse all providers in the state to find quality care that fits their budget.
Average
$1,865
Median
$1,082
Lowest
$95
Highest
$4,419
Providers
1,138
103% above national average
Compare Similar Procedures
How does septoplasty compare to related procedures in Wisconsin?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $73 | $3,723 | $10,559 | 2,606 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $73 | $3,602 | $10,564 | 2,707 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $80 | $95 | $10,062 | 3,125 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $73 | $1,658 | $4,236 | 2,595 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $73 | $1,221 | $4,635 | 3,551 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $73 | $1,115 | $5,429 | 4,057 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $73 | $1,742 | $5,848 | 5,130 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $95 | $547 | $1,404 | 1,113 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $73 | $1,248 | $4,031 | 2,412 |
| Mastectomy Partial or simple mastectomy | 19301 | $73 | $984 | $3,947 | 2,389 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $85 | $747 | $5,357 | 2,273 |
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.
Top-Rated Hospitals in Wisconsin
These hospitals in Wisconsin are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GLENDALE, WI
ALTOONA, WI
PRAIRIE DU SAC, WI
MADISON, WI
WOODRUFF, WI
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 Wisconsin
Wisconsin's healthcare costs run approximately 1% above the national average, reflecting the state's mix of urban medical centers and rural provider challenges. The state's geography creates significant access disparities, with northern Wisconsin counties often requiring patients to travel hours for specialty surgical care.
Urban vs. Rural Provider Availability
Milwaukee and Madison concentrate most of Wisconsin's ENT surgeons, while rural northern counties may have no local septoplasty providers within 100 miles. This geographic maldistribution forces many patients to travel to urban centers, adding lodging and travel costs to their total expenses. Rural hospitals typically refer complex septoplasty cases to larger health systems rather than performing them locally.
Facility Type and Overhead Costs
Wisconsin's major health systems like Froedtert, UW Health, and Advocate Aurora dominate the market with hospital-based outpatient surgery departments that carry higher overhead costs. Independent ambulatory surgery centers in Wisconsin often provide septoplasty at 20-40% lower facility fees than hospital outpatient departments. Academic medical centers typically have the highest costs due to teaching responsibilities and complex case mix.
Insurance Market Competition in Wisconsin
Blue Cross Blue Shield of Wisconsin holds significant market share alongside UnitedHealthcare and regional player WEA Trust, creating moderate insurer competition. This competitive environment has prevented the extreme rate consolidation seen in some states, helping keep negotiated septoplasty rates more reasonable. Rural areas often have fewer insurer options, potentially limiting provider network choices for patients.
Physician Supply and Demand in Wisconsin
With over 1,100 active Septoplasty providers, Wisconsin maintains adequate specialist supply in urban areas but faces shortages in rural regions. This geographic imbalance creates longer wait times and higher costs in underserved areas, while urban markets have more competitive pricing. The state's medical schools help maintain physician supply, though retention in rural areas remains challenging.
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 Wisconsin
What is the average cost of a Septoplasty visit in Wisconsin without insurance?
Does Wisconsin Medicaid cover Septoplasty visits?
How do I find an affordable Septoplasty near me in Wisconsin?
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 Wisconsin?
How does telemedicine affect the cost of seeing a Septoplasty in Wisconsin?
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 |