How much does Medicare pay for CPT 30802?

Medicare allowed an average of $170.50 per service and paid $134.95 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1230.61, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 30802?

Destruction of surface soft tissue of nasal passages. It was billed 2,011 times to 1,982 Medicare beneficiaries by 98 providers in 2024.

Does 30802 pay differently in an office than a hospital?

Yes. The allowed amount averaged $148.96 in an office setting and $221.14 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 30802 most?

Otolaryngology, with 1,710 services from 79 clinicians. Next are Ambulatory Surgical Center, Plastic and Reconstructive Surgery.

CPT 30802

Destruction of surface soft tissue of nasal passages

$170.50Medicare-allowed amount per service, averaged across 2,011 services

Providers submitted

$1230.61

Asking price, not received

Medicare allowed

$170.50

The fee schedule figure

Medicare paid

$134.95

Balance is patient coinsurance

Providers submitted an average of $1230.61 for this code and Medicare allowed $170.50 — 7.2× 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 $134.95 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $148.96
Hospital / facility: $221.14

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 1,411 services were billed in an office setting and 600 in a facility.

Services: 2,011
Beneficiaries: 1,982
Providers billing it: 98
Total allowed: $342,876

What Medicare pays for CPT 30802

Across 2,011 services billed by 98 providers to 1,982 beneficiaries, Medicare allowed an average of $170.50 per service. 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 30802

Specialty	Services	Beneficiaries	Avg allowed	Providers
Otolaryngology	1,710	1,683	$143.68	79
Ambulatory Surgical Center	272	271	$346.37	18
Plastic and Reconstructive Surgery	29	28	$102.11	1

30802 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	402	$147.42	$120.63	14
California	168	$150.65	$105.94	6
Florida	164	$183.28	$144.20	10
Arizona	130	$252.77	$200.39	6
Nevada	128	$139.01	$109.06	1
New York	125	$139.92	$100.61	7
Pennsylvania	95	$139.06	$109.19	5
Kansas	75	$229.25	$201.95	4
Louisiana	67	$196.03	$169.42	3
Iowa	67	$177.85	$154.16	4
Colorado	55	$263.79	$225.82	3
Kentucky	51	$141.86	$117.35	3
Nebraska	50	$173.64	$149.51	4
Michigan	49	$158.95	$125.64	3
Indiana	49	$192.94	$168.75	3
New Jersey	40	$164.02	$109.21	2
Georgia	40	$142.42	$114.62	2
Virginia	40	$126.51	$102.85	3
North Carolina	28	$243.65	$199.50	2
Wyoming	25	$189.92	$170.40	2
Wisconsin	20	$136.74	$115.60	1
Alabama	17	$122.16	$109.24	1
Connecticut	17	$99.67	$79.71	1
South Carolina	16	$430.34	$397.68	1
Tennessee	15	$132.42	$116.04	1
Maryland	15	$129.12	$109.35	1
Massachusetts	15	$142.66	$109.22	1
Delaware	14	$360.80	$280.05	1
Ohio	12	$128.49	$109.20	1
Mississippi	11	$91.75	$79.62	1
Washington	11	$93.79	$81.67	1

Related codes

30801Destruction of soft tissue of nasal passages$151.65

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.