How much does Medicare pay for CPT 30140?

Medicare allowed an average of $390.72 per service and paid $310.96 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3573.30, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 30140?

Removal of nasal air passage under lining tissue. It was billed 21,347 times to 16,751 Medicare beneficiaries by 693 providers in 2024.

Does 30140 pay differently in an office than a hospital?

Yes. The allowed amount averaged $218.76 in an office setting and $466.37 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 30140 most?

Otolaryngology, with 11,895 services from 467 clinicians. Next are Ambulatory Surgical Center, Ophthalmology, Nurse Practitioner.

CPT 30140

Removal of nasal air passage under lining tissue

$390.72Medicare-allowed amount per service, averaged across 21,347 services

Providers submitted

$3573.30

Asking price, not received

Medicare allowed

$390.72

The fee schedule figure

Medicare paid

$310.96

Balance is patient coinsurance

Providers submitted an average of $3573.30 for this code and Medicare allowed $390.72 — 9.1× 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 $310.96 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $218.76
Hospital / facility: $466.37

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 6,522 services were billed in an office setting and 14,825 in a facility.

Services: 21,347
Beneficiaries: 16,751
Providers billing it: 693
Total allowed: $8,340,700

What Medicare pays for CPT 30140

Across 21,347 services billed by 693 providers to 16,751 beneficiaries, Medicare allowed an average of $390.72 per service. That is 1.3 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 30140

Specialty	Services	Beneficiaries	Avg allowed	Providers
Otolaryngology	11,895	11,850	$181.35	467
Ambulatory Surgical Center	9,365	4,814	$658.43	223
Ophthalmology	54	54	$208.05	1
Nurse Practitioner	33	33	$182.48	2

30140 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	2,442	$384.33	$315.23	81
Florida	2,182	$342.45	$283.78	75
California	2,146	$467.99	$318.30	67
Arizona	1,664	$327.77	$269.90	35
Kansas	969	$422.58	$363.40	26
Alabama	826	$376.84	$346.61	24
South Carolina	766	$399.62	$343.79	22
Indiana	737	$404.50	$382.88	24
Tennessee	732	$391.70	$345.01	26
Washington	604	$563.05	$420.45	17
North Carolina	562	$444.30	$377.43	19
Illinois	556	$257.58	$199.41	17
Georgia	505	$428.29	$351.55	19
Oklahoma	446	$202.45	$170.20	15
Wisconsin	427	$292.55	$244.51	10
Virginia	425	$464.32	$382.85	14
Nevada	424	$271.47	$224.52	6
Colorado	401	$567.85	$461.23	14
Pennsylvania	366	$436.93	$358.84	15
Missouri	331	$355.91	$291.97	14
Mississippi	311	$364.30	$338.16	11
Ohio	305	$350.96	$297.04	13
New York	297	$272.33	$208.70	12
Iowa	295	$456.86	$447.54	10
Utah	294	$452.14	$378.81	11
Maryland	265	$456.94	$369.56	9
Oregon	217	$576.21	$436.56	8
Idaho	214	$335.56	$285.89	10
Montana	206	$402.83	$337.84	6
Louisiana	199	$192.26	$160.86	7
New Jersey	175	$481.85	$362.91	8
Minnesota	156	$349.58	$288.09	5
Connecticut	140	$308.47	$241.67	4
Michigan	136	$442.42	$365.04	7
Nebraska	126	$345.44	$289.03	6
Alaska	113	$586.77	$441.93	5
Massachusetts	87	$621.62	$396.93	3
Kentucky	73	$352.86	$299.11	4
New Mexico	46	$355.67	$325.54	2
South Dakota	38	$123.04	$104.01	3
Wyoming	30	$696.67	$568.67	1
Rhode Island	24	$611.77	$527.72	1
Arkansas	23	$126.47	$114.22	2
District of Columbia	17	$264.50	$183.98	1
Vermont	13	$125.15	$91.38	1
Delaware	13	$180.80	$144.32	1
New Hampshire	12	$138.28	$109.74	1
Hawaii	11	$133.25	$103.71	1

Related codes

30117Removal or destruction of growth of nose through nose$511.42

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.