Septoplasty: Basic Information and Cost
Septoplasty is a surgery performed to correct a deviated (or crooked) septum. The septum is the piece of cartilage that separates one side of the nose from the other. Normally, the septum is straight. When it is crooked, it is termed a deviated septum. A deviated septum can block the nasal passage and contribute to symptoms of nasal obstruction.
Correction of a deviated septum with a septoplasy involves making an incision on the inside of the nose. The skin covering the septum is lifted off the cartilage and the crooked portion is either removed or reshaped to make the breathing passages more open.
A septoplasty does not change the shape of the nose and is therefore considered a functional procedure as opposed to a cosmetic procedure. As such, it is a procedure (as well as facility fees and anesthesia costs) that insurance should pay for. Verification of benefits and prior authorization before surgery should be obtained. For patients without insurance, the surgeon's fee for a septoplasty can range between $1000 and $2000.
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Septoplasty For Breathing Problems Is Usually Covered by Insurance
The septum is the wall that divides your nose into two sides. A "deviated septum" is a septum that twists to one or both sides. When it is twisted severely enough then it can cause nasal blockage. Surgical correction of a deviated septum to relieve nasal blockage is called a septoplasty. Most insurance companies in the US cover septoplasty surgery, so the cost would be whatever your deductibles, copays, etc... are for your insurance plan. Your surgeon's office staff should be able to provide you with more specific information.
From time to time, at the pre-surgery office visit, a patient scheduled just for septoplasty will ask if I can also "shave the hump down" on their nose or make some other cosmetic change. Of course we are happy to do that for them, and it makes sense to make cosmetic nasal changes at the same time as the septoplasty. However, insurance does not cover these cosmetic changes.
Thank you for your question. Septoplasty is a
surgical procedure which generally entails modification of the cartilage of the
nasal septum. It is undertaken to improve symptomatic nasal airway obstruction
when deviation or crookedness of the septum is judged to contribute to those
symptoms. Since this procedure is usually undertaken for functional breathing
reasons, it is usually covered by medical insurance. There is no one price that
can be accurately referenced. Rates of reimbursement vary widely between
insurance companies and policies and are ever-changing. For the most accurate
and updated information, ask you surgeon's office about fees and financial
policies. Good luck to you.
Cost of a septoplasty
The cost of the septoplasty is variable but depends upon 3 factors: Anesthesia doctor's fee, surgeons fee and operating room fee. Once medical necessity has been documented, the septoplasty procedure is billed to the patient's medical insurance. Co-pays deductibles will still be applicable based on the patient's insurance plan.
The cost of a septoplasty varies depending on several factors:
1. Insurance- many times septoplasty is covered by insurance. your responsibility would be based on your specific insurance plan
2. Out of pocket- some patients prefer to pay for a procedure without insurance. Typically septoplasty fees range from $1000-5000 for a surgeon's fee only depending on the complexity and scope of the procedure.
Insurance usually covers septoplasty
Septoplasty is designed to straighten a crooked septum. The septum is the wall in the nose which divides the right from left side. The problem can be either traumatic in nature or congenital (present since birth). If done in isolation, it usually does not change the external appearance of the nose. Typically this is covered by insurance, so you would only be responsible for your copay. This operation can be combined with other procedures to improve the breathing depending on your nasal anatomy. See a good rhinoplasty/facial plastic surgeon to understand your options.
Septoplasty and Cost
Most septoplasty procedures if completed for nasal obstruction and have supporting documentation of difficulty breathing are covered by insurance. A septoplasty is not cosmetic and should not be associated with a cosmetic fee. If the goal is to create external artistic changes to the nose then a cosmetic fee would apply. Go through your insurance if breathing is the only issue but make sure you find a Board certified specialist that performs both facial plastic surgery and is Board certified in ENT. This will give you the best possible result and guarantee that the appropriate diagnosis is made and areas of your nose at secondary risk for nasal obstruction are not missed or neglected.
Atlanta - cost for septoplasty
At our Atlanta facility the range for a Septoplasty is $ 3,500.00 - 4,200.00. This range is including the doctors fee, the state licensed facility fee and the M.D. anesthesiologists fee.
Septoplasty Can Be Reimbursed By Insurance
Septoplasty surgery is often reimbursed by insurance. This means that your cost will be dependent on the deductibles and copays of your insurance policy. Be sure to check with your insurance company as policies and requirements for obtaining payment vary greatly.
The cost varies based on location
In Canada the cost of a septoplasty is nothing. This is a medically insured service and patients pay nothing. In the United States this cost can vary from $2000-$5000 dollars. In the United Kingdom and many parts of Europe this procedure is also free of charge.