How Much Does Rhinoplasty Cost?

The average cost of rhinoplasty is $8,025 according to 19,350 patient reviews on RealSelf.

• That’s higher than the $5,483 average cited by the American Society of Plastic Surgeons, but they note the price they cite is just the surgeon's fee. The cost data provided in RealSelf reviews also includes anesthesia, facility fees, and other related expenses.
• According to RealSelf reviews, nose job costs in the U.S. can range from just $3,000 to as much as $18,000. 
• The cost of rhinoplasty in U.S. states also varies widely. For example, patients in Michigan typically pay $6,200, while a nose job in New York costs $12,300, on average.
• Prices in major U.S. metros also have significant variability.

Read on to learn why people pay such different nose job prices, what the total cost of rhinoplasty includes, and if health insurance ever covers it.

RealSelf Tip: If you’re not ready for the expense of nose surgery, you may want to consider a liquid rhinoplasty (aka a nonsurgical nose job), which uses injectable dermal fillers to temporarily smooth bumps, camouflage asymmetries, or raise a flat nasal bridge. This option is much cheaper, but results typically last only about 16 months. If you plan to maintain your results over time, surgical rhinoplasty can be less expensive in the long run because results are permanent. Nonsurgical nose jobs are also not without risk: the nose has one of the highest rates of filler complications.

Related: Everything You Need to Know About Rhinoplasty

The Ultimate Guide to Plastic Surgery Costs

SEE THE GUIDE

What does the total cost of rhinoplasty include?

It’s important to understand the details of the cost you’re quoted by a prospective plastic surgeon. If it’s only the surgeon’s fee, your final bill could end up being thousands of dollars more.

It’s usually possible to get general cost ranges over the phone from the surgeons you’re considering, though some insist on an in-person consultation first. “There is no shame in asking about the fees when you call an office,” says Beverly Hills, California, facial plastic surgeon Dr. Robert Kotler. “The office should at least be able to give you a range of fees, for a relatively simple case versus a more difficult case.” 

During an in-person consultation, the surgeon will propose a specific treatment plan for the type of rhinoplasty they recommend, tailored to your concerns and goals for your new nose. This is the perfect time to ask for a total price estimate that includes:

• the consultation fee (which is often applied toward the cost of your procedure)
• the surgeon fee
• surgical facility fees
• anesthesia fees
• surgical supply fees
• pre- and post-op appointments
• prescription medications or recovery supplies

Also ask how your surgeon handles revision rhinoplasty costs.

Why do rhinoplasty costs vary?

Your rhinoplasty cost will depend on:

1. Your surgeon’s qualifications and level of experience.

A surgeon’s experience factors heavily into the cost of a rhinoplasty. 

Board-certified plastic surgeons or facial plastic surgeons who perform nose jobs on a daily basis—and have for many years—can charge more than those with less experience. In fact, many plastic surgeons specialize in rhinoplasty and other types of nose surgery, which is considered by many to be the most difficult, exacting type of facial plastic surgery. You can expect those who operate on noses almost exclusively to charge more.

On the other hand, these experts tend to have lower revision rates. So going to an experienced surgeon for your primary rhinoplasty may help you avoid the significant cost (and hassle) of a revision surgery.

As you’re choosing your surgeon, pay very close attention to their credentials, reviews from other nose job patients, and before and after photos. During your consultation, ask what percentage of their practice is devoted to nasal surgery. If they don’t perform at least 100 rhinoplasties a year, we don’t recommend letting them near your nose. 

As Newport Beach, California, plastic surgeon Dr. Daniel Reichner says, “The best rhinoplasty surgeons are artists. This point cannot be underestimated.”

2. Where your surgery takes place.

Rhinoplasty costs can vary by U.S. state, metro area, and neighborhood. Surgery in an area with a high cost of living will almost always cost more, simply because the providers there have higher overhead.

For example:

• In New York City, facial plastic surgeon Dr. Steven Pearlman charges between $10,000 and $30,000 for rhinoplasty surgery, depending on its complexity.
• Boston-based plastic surgeon Dr. Samuel Lin says that rhinoplasty prices can range from $3,000 to over $20,000.
• In Chicago, plastic surgeon Dr. Thomas Mustoe charges between $2,000 and $15,000.

Another factor is the type of surgical facility in which the procedure is performed. Most private surgical centers come with lower facility fees than a hospital operating room.

3. The type of anesthesia you have.

Most doctors perform rhinoplasty procedures with the patient under general anesthesia, but an increasing number perform this and other facial plastic surgery procedures under local anesthesia with oral sedation—a cheaper option with a lower risk profile.

General anesthesia can cost thousands of dollars more than local anesthesia, but some surgeons prefer that the patient be fully unconscious, so there’s no chance of movement during a delicate moment in the procedure.

4. Who administers your anesthesia.

An anesthesiologist (a medical doctor) will charge higher anesthesia fees than a certified registered nurse anesthetist (CRNA). 

Both are qualified to administer anesthesia and monitor patients throughout the procedure, but anesthesiologists have more advanced training, so some surgeons insist on using them. 

5. The complexity of your procedure.

The type of rhinoplasty you get is often the biggest predictor of cost. As you’d expect, rates reflect the time involved, as well as the difficulty of the procedure. This is one reason why primary, or first-time, nose jobs cost less than revision rhinoplasties, which are far less predictable and generally more challenging.

A cosmetic rhinoplasty procedure with straightforward nose reshaping or size reduction typically takes 1–2 hours and carries the lowest price tag.

Per RealSelf data, ethnic rhinoplasty procedures tend to cost more, simply because they require a special skill set and sensitivity to the patient’s racial identity. Black patients pay $8,000, on average, while patients of Asian descent report an average cost of over $13,000.

A complex functional rhinoplasty or reconstructive rhinoplasty that involves septoplasty surgery for your airway, spreader grafts (to support your internal valves and make sure the sides of your nose line up), a radix graft (to maximize your nasal proportion), nasal tip grafts (to improve tip projection and contour), and/or skin grafts (to repair defects following skin cancer surgery) could take as long as 4 hours or more. 

With some (not all) surgeons, technique influences the cost of the procedure. In their hands, a closed rhinoplasty may be cheaper than open rhinoplasty procedures, which require making an incision across the columella and peeling back the skin to fully expose the nasal anatomy. 

During your consultation, your surgeon should be able to speak to how their recommended surgical plan and approach will impact its price. If it seems high, you may want to get a second (or third) opinion, so you can compare treatment plans and price quotes.

6. Whether you have complementary procedures at the same time.

It’s common for rhinoplasty patients to have other facial plastic surgery procedures during the same operation.

For example, a chin implant (which costs over $6,200, on average) can create more balanced facial features and improve your profile.

Having additional procedures increases your total cost, but combining them is cheaper than having them separately, because you only pay the anesthesia and facility fees once. Some surgeons also discount their fee for each additional procedure.

Does health insurance cover rhinoplasty?

It’s rare to get rhinoplasty covered by insurance, simply because it’s considered an elective cosmetic procedure.

However, insurance companies may contribute to nose surgery costs if you have an injury or breathing issues, which make it medically necessary to correct issues like trauma, a deviated septum, or collapsed nasal passages. 

In such cases, a rhinoplasty will often be paired with a septoplasty to address the documented medical issues, and your insurance company will likely cover a portion of the costs.

To find out if you qualify for insurance coverage, start by asking your primary care physician for a referral. Then check with your insurance provider to see what kind of documentation they need and which surgeons are covered under your plan.

It’s also smart to ask how much they’ll cover, so you can plan for out-of-pocket expenses.

Can you finance a nose job?

Yes, most practices offer payment plans or accept financing options.

The CareCredit credit card is widely accepted by providers across the U.S., for both plastic surgery and nonsurgical procedures.

Rhinoplasty costs in U.S. states

Browse average rhinoplasty costs and ranges by state, according to the 2,092 most recent RealSelf reviews as of February 2023. (Note: In the map image, blank states don't have enough recent data to display.)

Rhinoplasty costs by major U.S. metro