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CPT code 30100: Nasal biopsy, intranasal tissue sampling2026 Medicare rate & RVUs in Utah

Reports sampling of tissue inside the nose for diagnostic evaluation, such as an abnormal mucosal area or intranasal lesion requiring histopathologic examination.

CMS RVU26DEffective Oct 1, 2026One payment locality1.6K Medicare services in 2024

In Utah, Medicare pays $134.47 for 30100 in the office and $59.12 when it’s performed in a hospital or facility.

$134.47Office (non-facility)
$59.12Hospital or facility
−4.8%vs the national office rate ($141.29)

Check a contract rate as a % of Medicare · 30100 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 30100 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 30100 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 30100 covers

An otolaryngologist typically obtains a small tissue sample from inside the nose when examination identifies abnormal mucosa or a lesion that needs diagnostic evaluation. The clinician may use biopsy forceps through the nostril, often in an office setting, and submit the specimen for pathologic examination. The service is tissue sampling, not removal of an entire polyp or therapeutic excision of a lesion.

Report 30100 when tissue is sampled for diagnosis; document the intranasal site, the abnormal finding, the sampling performed, and specimen submission. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Do not use modifier 50; CMS bilateral adjustment does not apply. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Utah compares for 30100

Across 109 of 109 payment localities, the office rate for 30100 runs from $124.20 in Arkansas to $189.60 in San Benito County, CA. Utah pays $134.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

30100 in Utah vs other payment areas
  1. Utah · this page$134.47
  2. Los Angeles, CA · California$160.52+$26.05
  3. Washington, DC area · District of Columbia$162.34+$27.87
  4. Miami, FL · Florida$152.28+$17.81
  5. Chicago, IL · Illinois$147.66+$13.19
  6. Manhattan, NY · New York$163.00+$28.53
  7. Alaska · Alaska$161.60+$27.13

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

30100 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$126.12$55.98
ArkansasArkansas$124.20$55.34
ArizonaArizona$137.37$59.69
Bakersfield, CACalifornia$150.37$62.51
Chico, CACalifornia$149.99$62.13
El Centro, CACalifornia$150.01$62.15
Fresno, CACalifornia$149.99$62.13
Hanford, CACalifornia$149.99$62.13

30100 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$124.20

$169.80

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
30100 office rate range by state
State / territoryOffice rate rangeLocalities
AK$161.601
AL$126.121
AR$124.201
AZ$137.371
CA$149.99–$189.6029
CO$147.501
CT$150.991
DC$162.341
DE$139.731
FL$138.80–$152.283
GA$130.65–$143.952
GU$154.011
HI$154.011
IA$129.641
ID$130.501
IL$134.49–$147.724
IN$131.301
KS$128.941
KY$129.131
LA$128.89–$135.612
MA$146.53–$162.672
MD$142.51–$162.343
ME$131.15–$138.732
MI$132.61–$140.552
MN$141.311
MO$126.52–$136.203
MS$125.391
MT$141.281
NC$132.601
ND$138.711
NE$130.411
NH$145.101
NJ$152.71–$160.512
NM$133.341
NV$140.671
NY$134.69–$167.055
OH$132.081
OK$128.951
OR$139.57–$152.462
PA$132.34–$147.032
PR$142.391
RI$144.911
SC$132.561
SD$138.401
TN$129.611
TX$131.42–$147.018
UT$134.471
VA$138.20–$162.342
VI$142.391
VT$138.081
WA$146.28–$166.142
WI$133.821
WV$129.241
WY$140.161

See 30100 in every payment locality

How the 30100 rate is calculated

Each of 30100’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 30100

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.92

0.92 RVUs× 1.000 GPCI

Practice expense3.18

3.18 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

4.2300

Conversion factor

$33.4009

Medicare rate

$141.29

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,394

Code
30100
Physician work
0.92
Practice expense
3.18
Malpractice
0.13

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 30100 in Utah
ComponentRVULocality factorAdjusted
Physician work0.92× 1.0000.9200
Practice expense3.18× 0.9402.9892
Malpractice0.13× 0.8980.1167
Total RVUs4.0259
Conversion factor× 33.4009

Office rate, Utah$134.47

Office: (0.92 × 1 + 3.18 × 0.94 + 0.13 × 0.898) × $33.4009 = $134.47

Facility: (0.92 × 1 + 0.78 × 0.94 + 0.13 × 0.898) × $33.4009 = $59.12

Open 30100 in the RVU calculator

Payment rules and modifiers for 30100

The CMS indicators that decide how 30100 is paid alongside other services.

CMS payment indicators · 30100

Nasal biopsy, intranasal tissue sampling

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

30100 without 51 · national office

$141.29

Nasal biopsy, intranasal tissue sampling

30100-51 · Second procedure: 50%

$70.65

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 30100

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 30100
CodeHow it relatesOffice range, Utah
Used instead
30117Intranasal lesion removal, internal approachIntranasal lesion removal is distinct from sampling tissue for diagnosis.$901.36
30118Nasal lesion removal, external approachConsider for extensive intranasal lesion removal rather than diagnostic biopsy.No office rate
30110Nasal polypectomy, simple removalReports nasal polyp removal, not biopsy of tissue from inside the nose.$234.99
30115Nasal polypectomy, extensive removalReports extensive nasal polyp removal rather than diagnostic tissue sampling.No office rate

How 30100 has changed in Utah

30100 · Office / nonfacility

$134.47

Effective 2026-10-01

The base rate is $6.90 higher than on 2025-10-01, moving from $127.57 to $134.47 (5.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $127.57changed to$134.47

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.94 changed to 0.92
    • Practice expense RVU 3.09 changed to 3.18
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $133.77changed to$127.57

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.17 changed to 3.09

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $131.58changed to$133.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $136.10changed to$131.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.21 changed to 3.17
    • Malpractice RVU 0.12 changed to 0.13
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $137.94changed to$136.10

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $139.04changed to$137.94

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.20 changed to 3.21
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $137.11changed to$139.04

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.97 changed to 3.20
    • Malpractice RVU 0.12 changed to 0.13
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $137.22changed to$137.11

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.93 changed to 2.97
    • Malpractice RVU 0.13 changed to 0.12
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $134.73changed to$137.22

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.86 changed to 2.93

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $135.78changed to$134.73

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.91 changed to 2.86
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $137.14changed to$135.78

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.97 changed to 2.91
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $137.73changed to$137.14

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.96 changed to 2.97
    • Malpractice RVU 0.14 changed to 0.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $137.04changed to$137.73

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $135.93changed to$137.04

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.97 changed to 2.96
    • Malpractice RVU 0.11 changed to 0.14
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $140.20changed to$135.93

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.34 changed to 2.97
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $140.20

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$134.47$59.12RVU26D
2026-07-01$134.47$59.12RVU26C
2026-04-01$134.47$59.12RVU26B
2026-01-01$134.47$59.12RVU26A
2025-10-01$127.57$64.80RVU25D
2025-07-01$127.57$64.80RVU25C
2025-04-01$127.57$64.80RVU25B
2025-01-01$127.57$64.80RVU25A
2024-10-01$133.77$66.06RVU24D
2024-07-01$133.77$66.06RVU24C
2024-04-01$133.77$66.06RVU24B
2024-03-09$133.77$66.06RVU24AR
2024-01-01$131.58$64.98RVU24A
2023-10-01$136.10$65.50RVU23D
2023-07-01$136.10$65.50RVU23C
2023-04-01$136.10$65.50RVU23B
2023-01-01$136.10$65.50RVU23A
2022-10-01$137.94$65.11RVU22D
2022-07-01$137.94$65.11RVU22C
2022-04-01$137.94$65.11RVU22B
2022-01-01$137.94$65.11RVU22A
2021-10-01$139.04$64.64RVU21D
2021-07-01$139.04$64.64RVU21C
2021-04-01$139.04$64.64RVU21B
2021-01-01$139.04$64.64RVU21A
2020-10-01$137.11$66.49RVU20D
2020-07-01$137.11$66.49RVU20C
2020-04-01$137.11$66.49RVU20B
2020-01-01$137.11$66.49RVU20A
2019-10-01$137.22$68.07RVU19D
2019-07-01$137.22$68.07RVU19C
2019-04-01$137.22$68.07RVU19B
2019-01-01$137.22$68.07RVU19A
2018-10-01$134.73$67.99RVU18D
2018-07-01$134.73$67.99RVU18C
2018-04-01$134.73$67.99RVU18B
2018-01-01$134.73$67.99RVU18AR1
2017-10-01$135.78$68.73RVU17D
2017-07-01$135.78$68.73RVU17C
2017-04-01$135.78$68.73RVU17B
2017-01-01$135.78$68.73RVU17A
2016-10-01$137.14$69.14RVU16D
2016-07-01$137.14$69.14RVU16C
2016-04-01$137.14$69.14RVU16B
2016-01-01$137.14$69.14RVU16A
2015-10-01$137.73$69.81RVU15D
2015-07-01$137.73$69.81RVU15C
2015-04-01$137.04$69.46RVU15B
2015-01-01$137.04$69.46RVU15A
2014-10-01$135.93$68.44RVU14D
2014-07-01$135.93$68.44RVU14C
2014-04-01$135.93$68.44RVU14B
2014-01-01$135.93$68.44RVU14A
2013-10-01$140.20$68.21RVU13D
2013-07-01$140.20$68.21RVU13C
2013-04-01$140.20$68.21RVU13B
2013-01-01$140.20$68.21RVU13AR

Price 30100 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

30100 billing questions

When should 30100 be used instead of an intranasal lesion excision code?

Use 30100 when tissue is sampled for diagnosis. When the service removes or excises the lesion rather than taking a diagnostic sample, consider the applicable lesion-removal code.

Is removal of a nasal polyp reported as 30100?

Not when the service is removal of the polyp. Codes 30110 and 30115 describe nasal polyp removal; 30100 is for intranasal tissue sampling.

Can modifier 50 be appended for biopsies on both sides?

No. CMS bilateral adjustment does not apply to 30100, and modifier 50 is inappropriate for this code.

What documentation supports reporting 30100?

Document the intranasal site and abnormal finding, the tissue sampling performed, and the specimen submitted for diagnostic evaluation.

How are other procedures in the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.

Can an assistant surgeon or co-surgeon be billed for 30100?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 30100PPRRVU2026_Oct_nonQPP.csv, line 3,394 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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