How much does Medicare pay for CPT 30117?

Medicare allowed an average of $511.42 per service and paid $407.21 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2399.99, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 30117?

Removal or destruction of growth of nose through nose. It was billed 9,650 times to 6,574 Medicare beneficiaries by 209 providers in 2024.

Does 30117 pay differently in an office than a hospital?

Yes. The allowed amount averaged $514.08 in an office setting and $437.65 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 30117 most?

Otolaryngology, with 9,472 services from 205 clinicians. Next are Ambulatory Surgical Center, Nurse Practitioner.

CPT 30117

Removal or destruction of growth of nose through nose

$511.42Medicare-allowed amount per service, averaged across 9,650 services

Providers submitted

$2399.99

Asking price, not received

Medicare allowed

$511.42

The fee schedule figure

Medicare paid

$407.21

Balance is patient coinsurance

Providers submitted an average of $2399.99 for this code and Medicare allowed $511.42 — 4.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $407.21 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $514.08
Hospital / facility: $437.65

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 9,314 services were billed in an office setting and 336 in a facility.

Services: 9,650
Beneficiaries: 6,574
Providers billing it: 209
Total allowed: $4,935,203

What Medicare pays for CPT 30117

Across 9,650 services billed by 209 providers to 6,574 beneficiaries, Medicare allowed an average of $511.42 per service. That is 1.5 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 30117

Specialty	Services	Beneficiaries	Avg allowed	Providers
Otolaryngology	9,472	6,462	$507.83	205
Ambulatory Surgical Center	123	79	$745.18	2
Nurse Practitioner	55	33	$606.66	2

30117 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Texas	1,330	$492.74	$390.58	26
Arizona	1,275	$489.76	$399.62	14
Florida	897	$538.33	$430.49	26
California	875	$564.46	$398.42	24
Illinois	853	$515.16	$398.02	11
New York	489	$563.77	$391.22	15
Wisconsin	473	$504.15	$420.45	6
South Carolina	359	$449.57	$384.26	7
Michigan	288	$509.77	$392.68	5
North Carolina	245	$507.59	$425.59	7
Alabama	229	$454.47	$393.39	7
Pennsylvania	211	$515.42	$400.37	8
Missouri	207	$437.68	$386.52	3
Kentucky	180	$480.03	$407.39	2
Washington	177	$512.86	$375.80	3
Tennessee	169	$483.77	$398.53	5
Georgia	166	$636.75	$546.98	6
Maryland	143	$508.56	$399.86	3
New Jersey	141	$657.18	$441.57	4
Indiana	141	$475.02	$418.58	3
Oklahoma	113	$444.95	$364.41	2
Minnesota	110	$531.17	$427.16	2
Louisiana	109	$560.09	$478.61	4
Nevada	84	$450.67	$387.94	1
Mississippi	75	$426.77	$391.75	2
Virginia	72	$467.98	$350.86	4
Connecticut	60	$488.41	$386.66	1
Massachusetts	38	$428.52	$320.62	2
Arkansas	29	$449.91	$400.22	1
Hawaii	28	$565.80	$399.53	1
Nebraska	28	$444.62	$386.57	1
Iowa	23	$465.01	$435.78	1
Utah	22	$455.89	$386.21	1
Rhode Island	11	$1003.51	$773.58	1

Related codes

30140Removal of nasal air passage under lining tissue$390.72

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.