Destruction of soft tissue of nasal passages
Medicare pricing data for 978 providers across 43 states
Prices vary significantly by location — from $69 in Vermont to $199 in California. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Destruction of soft tissue of nasal passages (HCPCS code 30801) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $148.96, but hospitals typically charge $555.84 — a 3.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $148.96, your out-of-pocket cost would be approximately $29.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $113.69 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $199 | $491 | 94 | 806 | +33.9% |
| Oklahoma | $195 | $620 | 3 | 183 | +31.2% |
| New Mexico | $194 | $794 | 4 | 74 | +30.3% |
| Nebraska | $187 | $599 | 5 | 236 | +25.5% |
| Iowa | $183 | $548 | 17 | 1,592 | +23.0% |
| Maryland | $164 | $508 | 21 | 59 | +10.4% |
| Pennsylvania | $163 | $464 | 33 | 255 | +9.3% |
| Ohio | $146 | $487 | 20 | 45 | -2.2% |
| New York | $142 | $895 | 52 | 211 | -4.6% |
| Colorado | $142 | $493 | 22 | 61 | -4.6% |
| Minnesota | $138 | $692 | 10 | 21 | -7.1% |
| New Jersey | $128 | $751 | 38 | 120 | -13.9% |
| Illinois | $128 | $682 | 32 | 299 | -14.3% |
| Michigan | $126 | $678 | 40 | 237 | -15.6% |
| Nevada | $126 | $566 | 6 | 16 | -15.6% |
| Connecticut | $125 | $751 | 5 | 28 | -15.8% |
| Idaho | $125 | $596 | 3 | 13 | -15.8% |
| South Dakota | $125 | $270 | 2 | 13 | -16.3% |
| New Hampshire | $125 | $470 | 3 | 11 | -16.4% |
| Massachusetts | $123 | $762 | 16 | 54 | -17.4% |
| Maine | $123 | $863 | 1 | 18 | -17.7% |
| North Carolina | $122 | $560 | 38 | 90 | -18.1% |
| Florida | $121 | $478 | 111 | 681 | -18.6% |
| Missouri | $119 | $362 | 10 | 41 | -20.2% |
| Georgia | $119 | $602 | 24 | 56 | -20.3% |
| Virginia | $117 | $504 | 27 | 77 | -21.3% |
| Hawaii | $116 | $686 | 2 | 35 | -22.4% |
| Texas | $112 | $551 | 127 | 516 | -24.6% |
| Washington | $112 | $661 | 11 | 42 | -24.6% |
| Kansas | $112 | $461 | 7 | 51 | -24.9% |
| Delaware | $112 | $503 | 5 | 38 | -25.1% |
| Arizona | $111 | $483 | 23 | 271 | -25.5% |
| Wisconsin | $110 | $1,106 | 10 | 28 | -26.4% |
| Utah | $109 | $482 | 11 | 23 | -27.1% |
| Tennessee | $109 | $622 | 33 | 155 | -27.2% |
| South Carolina | $103 | $519 | 12 | 82 | -30.8% |
| Kentucky | $101 | $384 | 10 | 130 | -32.4% |
| Indiana | $100 | $452 | 12 | 40 | -32.7% |
| Louisiana | $100 | $499 | 30 | 151 | -33.1% |
| Alabama | $99 | $300 | 24 | 100 | -33.7% |
| Arkansas | $98 | $400 | 1 | 16 | -34.2% |
| Mississippi | $98 | $567 | 12 | 79 | -34.4% |
| Vermont | $69 | $156 | 5 | 12 | -54.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber