How much does Medicare pay for CPT 30930?

Medicare allowed an average of $149.22 per service and paid $118.62 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $781.24, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 30930?

Therapeutic fracture of nasal passages. It was billed 1,396 times to 1,381 Medicare beneficiaries by 66 providers in 2024.

Does 30930 pay differently in an office than a hospital?

Yes. The allowed amount averaged $58.28 in an office setting and $228.91 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 30930 most?

Otolaryngology, with 1,123 services from 49 clinicians. Next are Ambulatory Surgical Center, Ophthalmology, Pain Management.

CPT 30930

Therapeutic fracture of nasal passages

$149.22Medicare-allowed amount per service, averaged across 1,396 services

Providers submitted

$781.24

Asking price, not received

Medicare allowed

$149.22

The fee schedule figure

Medicare paid

$118.62

Balance is patient coinsurance

Providers submitted an average of $781.24 for this code and Medicare allowed $149.22 — 5.2× 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 $118.62 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $58.28
Hospital / facility: $228.91

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 652 services were billed in an office setting and 744 in a facility.

Services: 1,396
Beneficiaries: 1,381
Providers billing it: 66
Total allowed: $208,311

What Medicare pays for CPT 30930

Across 1,396 services billed by 66 providers to 1,381 beneficiaries, Medicare allowed an average of $149.22 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 30930

Specialty	Services	Beneficiaries	Avg allowed	Providers
Otolaryngology	1,123	1,115	$60.35	49
Ambulatory Surgical Center	167	163	$804.53	10
Ophthalmology	80	77	$58.55	5
Pain Management	14	14	$64.08	1
Nurse Practitioner	12	12	$49.20	1

30930 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
Florida	199	$111.25	$91.33	8
California	149	$63.15	$47.04	8
Indiana	147	$59.55	$51.13	4
Nevada	138	$59.51	$46.72	1
Maryland	106	$256.88	$202.83	6
New York	66	$382.69	$300.25	4
Illinois	65	$55.17	$46.71	3
Texas	63	$269.11	$226.61	4
Virginia	63	$56.35	$45.98	2
Wyoming	56	$525.79	$424.48	3
Arizona	53	$55.79	$46.87	4
Tennessee	33	$53.80	$46.76	2
Georgia	32	$358.89	$283.81	2
Nebraska	26	$417.55	$341.49	2
Mississippi	26	$609.62	$576.61	1
South Carolina	26	$55.01	$46.64	1
New Hampshire	25	$59.37	$46.64	1
Louisiana	15	$104.13	$79.15	1
Washington	14	$59.56	$46.73	1
Ohio	13	$50.72	$47.51	1
Utah	13	$57.20	$46.61	1
Michigan	12	$56.28	$47.68	1
Missouri	12	$56.74	$46.72	1
Massachusetts	11	$66.01	$46.78	1
North Carolina	11	$69.20	$46.78	1
Pennsylvania	11	$61.40	$46.71	1
West Virginia	11	$56.06	$47.83	1

Related codes

30901Simple control of nose bleed$145.25
30903Complex control of nose bleed$253.47

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.