How much does Medicare pay for CPT 30901?

Medicare allowed an average of $145.25 per service and paid $108.50 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $352.74, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 30901?

Simple control of nose bleed. It was billed 11,064 times to 9,233 Medicare beneficiaries by 579 providers in 2024.

Does 30901 pay differently in an office than a hospital?

Yes. The allowed amount averaged $149.85 in an office setting and $50.80 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 30901 most?

Otolaryngology, with 8,657 services from 454 clinicians. Next are Physician Assistant, Nurse Practitioner, General Practice.

CPT 30901

Simple control of nose bleed

$145.25Medicare-allowed amount per service, averaged across 11,064 services

Providers submitted

$352.74

Asking price, not received

Medicare allowed

$145.25

The fee schedule figure

Medicare paid

$108.50

Balance is patient coinsurance

Providers submitted an average of $352.74 for this code and Medicare allowed $145.25 — 2.4× 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 $108.50 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $149.85
Hospital / facility: $50.80

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. 10,551 services were billed in an office setting and 513 in a facility.

Services: 11,064
Beneficiaries: 9,233
Providers billing it: 579
Total allowed: $1,607,046

What Medicare pays for CPT 30901

Across 11,064 services billed by 579 providers to 9,233 beneficiaries, Medicare allowed an average of $145.25 per service. That is 1.2 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 30901

Specialty	Services	Beneficiaries	Avg allowed	Providers
Otolaryngology	8,657	7,262	$151.81	454
Physician Assistant	1,292	1,045	$119.52	70
Nurse Practitioner	853	702	$113.20	45
General Practice	100	78	$172.90	2
Internal Medicine	95	86	$178.21	4
Ophthalmology	28	23	$176.21	1
Emergency Medicine	25	25	$56.76	2
Pain Management	14	12	$91.83	1

30901 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
California	1,094	$169.32	$110.86	54
Florida	822	$141.09	$106.11	39
New York	757	$172.07	$107.82	38
New Jersey	641	$177.49	$116.95	30
Pennsylvania	617	$150.11	$113.43	32
Virginia	450	$139.17	$103.84	23
Massachusetts	438	$156.79	$107.56	23
Texas	400	$139.28	$109.93	23
Ohio	358	$110.87	$87.69	19
North Carolina	342	$143.63	$112.34	18
Washington	340	$144.18	$102.65	21
Illinois	318	$155.17	$112.14	18
Arizona	296	$150.38	$119.33	14
Maryland	286	$160.77	$115.26	15
Colorado	283	$149.73	$106.69	15
Missouri	258	$115.89	$92.81	15
Tennessee	252	$130.77	$108.51	15
South Carolina	250	$146.36	$113.80	14
Kansas	245	$135.50	$114.06	12
Indiana	235	$136.13	$106.29	12
Mississippi	223	$123.98	$107.26	11
Michigan	214	$122.94	$95.17	13
Wisconsin	198	$127.58	$102.09	11
Georgia	159	$129.43	$103.61	10
Arkansas	153	$119.62	$104.39	8
Oklahoma	149	$157.75	$116.74	4
Connecticut	127	$167.58	$114.64	7
Iowa	125	$99.70	$80.63	6
Idaho	114	$107.97	$90.38	6
Minnesota	110	$125.04	$92.57	6
Oregon	110	$137.38	$106.66	7
Nebraska	92	$121.75	$91.69	5
Alabama	89	$130.59	$109.58	5
New Hampshire	77	$92.76	$63.11	4
Kentucky	62	$131.66	$110.29	4
Utah	62	$140.46	$112.88	3
Wyoming	57	$114.12	$81.32	4
Louisiana	54	$132.68	$110.47	3
New Mexico	52	$51.11	$33.48	2
Montana	49	$114.92	$75.06	3
South Dakota	39	$114.52	$92.73	3
Delaware	35	$152.42	$117.30	2
Vermont	19	$44.45	$30.38	1
ZZ	13	$121.16	$98.37	1

Related codes

30903Complex control of nose bleed$253.47
30930Therapeutic fracture of nasal passages$149.22

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.