Deviated Septum Surgery Cost in North Carolina (2026): Average Prices & What You'll Pay
What does a deviated septum surgery cost in North Carolina?
Where you have a deviated septum surgery done in North Carolina swings the bill from $3,052 to $3,221 for identical care. The median cash price across 54 reporting hospitals is $3,157. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where deviated septum surgery costs vary in North Carolina
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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What you pay for a deviated septum surgery depends on where you go and what is billed separately. Most patients find out after.
Your personalized cost report includes:
- ✓ Medical vs. cosmetic: Insurance covers surgery for breathing problems, and cosmetic nose reshaping (rhinoplasty) is not covered and is a different procedure.
- ✓ Combined procedures: It is often done together with sinus or turbinate surgery, which changes the bill.
- ✓ Which bills usually arrive separately, and which providers to check are in-network
- ✓ The questions to ask before you schedule, so the estimate covers everything
- ✓ A real patient billing breakdown, line by line
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Cheapest Deviated Septum Surgery Providers in North Carolina
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($3,157) |
|---|---|---|---|---|
| 1 | The Outer Banks Hospital, Inc. | Nags Head, NC | $1,020 | $2,137 below |
| 2 | Alleghany County Memorial Hospital, Inc | NC | $1,333 | $1,824 below |
| 3 | North Carolina Specialty Hospital | Durham, NC | $2,423 | $734 below |
| 4 | Henderson County Hospital Corporation | Hendersonville, NC | $2,943 | $214 below |
| 5 | Caldwell Memorial Hospital | Lenoir, NC | $2,943 | $214 below |
| 6 | Watauga Medical Center, Inc | Boone, NC | $2,943 | $214 below |
| 7 | Blue Ridge HealthCare Hospitals, Inc | Morganton, NC | $2,943 | $214 below |
| 8 | Lenoir Memorial Hospital | Kinston, NC | $2,962 | $195 below |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- The Outer Banks Hospital, Inc. is the lowest-cost option at $1,020 - $2,137 below the median posted price ($3,157), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $3,168, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $3,387 to $3,387 | $3,387 |
| With insurance (commercial, average) | 47 | $3,034 to $6,652 | $3,856 |
| Without insurance (cash price) | 62 | $1,442 to $4,458 | $3,168 |
| Blue Cross and Blue Shield of North Carolina | 5 | $1,043 to $2,853 | $1,059 |
| Cigna | 22 | $3,312 to $8,213 | $3,318 |
| UnitedHealthcare | 16 | $3,034 to $5,809 | $3,160 |
| Aetna | 7 | $2,282 to $9,290 | $6,694 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does a deviated septum surgery cost with Medicare in North Carolina?
Medicare's national hospital outpatient payment for deviated septum surgery is about $3,387 to $3,387 (typically near $3,387). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $677 on a $3,387 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does a deviated septum surgery cost with insurance in North Carolina?
Across 47 North Carolina hospitals, the negotiated rates commercial insurers pay for deviated septum surgery average $3,034 to $6,652 per hospital, with a median near $3,856. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does a deviated septum surgery cost without insurance in North Carolina?
Cash (self-pay) prices for deviated septum surgery at 62 North Carolina hospitals range from $1,442 to $4,458, with a median of $3,168. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does a deviated septum surgery cost with Blue Cross and Blue Shield of North Carolina?
Blue Cross and Blue Shield of North Carolina negotiated rates for deviated septum surgery at 5 North Carolina hospitals range from $1,043 to $2,853, with a median near $1,059. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does a deviated septum surgery cost with Cigna in North Carolina?
Cigna negotiated rates for deviated septum surgery at 22 North Carolina hospitals range from $3,312 to $8,213, with a median near $3,318. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How much does a deviated septum surgery cost with UnitedHealthcare in North Carolina?
UnitedHealthcare negotiated rates for deviated septum surgery at 16 North Carolina hospitals range from $3,034 to $5,809, with a median near $3,160. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.
How much does a deviated septum surgery cost with Aetna in North Carolina?
Aetna negotiated rates for deviated septum surgery at 7 North Carolina hospitals range from $2,282 to $9,290, with a median near $6,694. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How where you go changes what you pay for deviated septum surgery
The same deviated septum surgery bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $270–$8,204
- Professional fee $1,005–$2,680
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,020–$1,020
- Professional fee $1,005–$2,680
Estimated from CMS fee schedules + commercial rate multipliers
Atrium Health (formerly Carolinas HealthCare) and Wake Forest Baptist Health have merged into one of the largest nonprofit health systems in the Southeast. Duke Health and UNC Health anchor the Research Triangle academic tier, creating a market where major academic centers hold outsized pricing leverage. North Carolina has been an active target for FTC scrutiny of hospital consolidation.
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Why prices vary - and what it means for your coverage
A small number of hospitals (9) report prices above $3,532, including Wilson Medical Center at $8,204, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $3,157 versus $1,020 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$3,157 |
| Deductible met - 20% coinsurance | ~$631 |
| Out-of-network provider | $6,945+ |
Frequently asked questions: deviated septum surgery costs in North Carolina
How much does a deviated septum surgery cost in North Carolina?
The typical insurer-negotiated rate is $3,146, with most facilities between $2,943 and $3,215 (based on 54 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of North Carolina hospitals run $1,442–$4,458; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a deviated septum surgery in North Carolina?
Based on declared prices, the lowest posted price in our North Carolina data is The Outer Banks Hospital, Inc. in Nags Head at about $1,020. By metro, Durham has the lowest median ($1,346). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a deviated septum surgery so much cheaper at some North Carolina hospitals?
Typical prices vary about 1.1× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Carolina, the median cash (self-pay) price is $3,168 versus a median negotiated rate of $3,856 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a deviated septum surgery in North Carolina?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read an EOB line by line
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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