CPT code 30906: Nosebleed control, posterior, subsequent treatment2026 Medicare rate & RVUs in South Dakota

Reports repeat control of posterior nasal bleeding using posterior packing and/or cautery, such as when bleeding persists or recurs after initial treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality689 Medicare services in 2024

In South Dakota, Medicare pays $397.62 for 30906 in the office and $109.70 when it’s performed in a hospital or facility.

$397.62Office (non-facility)
$109.70Hospital or facility
−2.3%vs the national office rate ($407.16)

Check a contract rate as a % of Medicare · 30906 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 30906 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 30906 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 30906 covers

This code describes subsequent control of a posterior nosebleed using posterior nasal packing and/or cautery. It may be performed by an otolaryngologist or an emergency physician when posterior bleeding continues or recurs after initial control, including in an emergency department or hospital setting. The service is distinct from treating an anterior bleeding site with limited or extensive cautery or packing.

Select the subsequent-treatment level when the clinician again controls posterior bleeding, rather than for the initial posterior control reported with 30905. Document the posterior source, the reason repeat control was needed, and the method used. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery 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 South Dakota compares for 30906

Across 109 of 109 payment localities, the office rate for 30906 runs from $356.06 in Arkansas to $547.61 in San Benito County, CA. South Dakota pays $397.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

30906 in South Dakota vs other payment areas
  1. South Dakota · this page$397.62
  2. Los Angeles, CA · California$462.88+$65.26
  3. Washington, DC area · District of Columbia$468.80+$71.18
  4. Miami, FL · Florida$441.95+$44.33
  5. Chicago, IL · Illinois$427.88+$30.26
  6. Manhattan, NY · New York$471.38+$73.76
  7. Alaska · Alaska$460.97+$63.35

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

Every other payment area

30906 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$361.80$109.88
ArkansasArkansas$356.06$108.74
ArizonaArizona$395.39$116.40
Bakersfield, CACalifornia$433.10$117.55
Chico, CACalifornia$431.89$116.34
El Centro, CACalifornia$431.97$116.41
Fresno, CACalifornia$431.89$116.34
Hanford, CACalifornia$431.89$116.34

30906 rates by state

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

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.

$356.06

$489.75

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

View every state and territory as a table
30906 office rate range by state
State / territoryOffice rate rangeLocalities
AK$460.971
AL$361.801
AR$356.061
AZ$395.391
CA$431.89–$547.6129
CO$425.001
CT$435.871
DC$468.801
DE$402.351
FL$400.61–$441.953
GA$376.11–$415.292
GU$443.991
HI$443.991
IA$371.891
ID$374.551
IL$388.01–$427.884
IN$376.931
KS$369.991
KY$371.201
LA$370.56–$390.652
MA$422.11–$469.572
MD$410.53–$468.803
ME$376.69–$399.042
MI$381.78–$406.062
MN$406.121
MO$363.59–$392.163
MS$359.911
MT$407.131
NC$381.001
ND$398.631
NE$374.131
NH$418.191
NJ$440.54–$463.242
NM$384.071
NV$405.071
NY$387.24–$483.735
OH$380.041
OK$370.471
OR$401.64–$439.502
PA$380.70–$424.202
PR$410.381
RI$417.451
SC$381.221
SD$397.621
TN$372.031
TX$377.97–$423.838
UT$386.911
VA$397.61–$468.802
VI$410.381
VT$396.931
WA$421.35–$479.562
WI$384.071
WV$372.351
WY$403.421

See 30906 in every payment locality

How the 30906 rate is calculated

Each of 30906’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 · 30906

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.39

2.39 RVUs× 1.000 GPCI

Practice expense9.37

9.37 RVUs× 1.000 GPCI

Malpractice0.43

0.43 RVUs× 1.000 GPCI

Adjusted RVUs

12.1900

Conversion factor

$33.4009

Medicare rate

$407.16

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,482

Code
30906
Physician work
2.39
Practice expense
9.37
Malpractice
0.43

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 30906 in South Dakota
ComponentRVULocality factorAdjusted
Physician work2.39× 1.0002.3900
Practice expense9.37× 1.0009.3700
Malpractice0.43× 0.3360.1445
Total RVUs11.9045
Conversion factor× 33.4009

Office rate, South Dakota$397.62

Office: (2.39 × 1 + 9.37 × 1 + 0.43 × 0.336) × $33.4009 = $397.62

Facility: (2.39 × 1 + 0.75 × 1 + 0.43 × 0.336) × $33.4009 = $109.70

Open 30906 in the RVU calculator

Payment rules and modifiers for 30906

The CMS indicators that decide how 30906 is paid alongside other services.

CMS payment indicators · 30906

Nosebleed control, posterior, subsequent treatment

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)2Already bilateral by definition: paid once at 100%.
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

30906 without 51 · national office

$407.16

Nosebleed control, posterior, subsequent treatment

30906-51 · Second procedure: 50%

$203.58

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

How 30906 has changed in South Dakota

30906 · Office / nonfacility

$397.62

Effective 2026-10-01

The base rate is $41.35 higher than on 2025-10-01, moving from $356.27 to $397.62 (11.6%).

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

    $356.27changed to$397.62

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.45 changed to 2.39
    • Practice expense RVU 8.40 changed to 9.37
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $367.25changed to$356.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.43 changed to 8.40
    • Malpractice RVU 0.40 changed to 0.43

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $361.26changed to$367.25

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $374.06changed to$361.26

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.45 changed to 8.43
    • Malpractice RVU 0.38 changed to 0.40
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $378.43changed to$374.06

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.35 changed to 8.45
    • Malpractice RVU 0.39 changed to 0.38
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $373.53changed to$378.43

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.13 changed to 8.35
    • Malpractice RVU 0.36 changed to 0.39

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $353.90changed to$373.53

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.22 changed to 8.13
    • Malpractice RVU 0.37 changed to 0.36
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $345.12changed to$353.90

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.99 changed to 7.22
    • Malpractice RVU 0.35 changed to 0.37
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $336.32changed to$345.12

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.76 changed to 6.99
    • Malpractice RVU 0.34 changed to 0.35

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $345.55changed to$336.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.04 changed to 6.76
    • Malpractice RVU 0.35 changed to 0.34
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $349.09changed to$345.55

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.16 changed to 7.04
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $279.92changed to$349.09

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.20 changed to 7.16

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $278.53changed to$279.92

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $281.32changed to$278.53

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.27 changed to 5.20
    • Malpractice RVU 0.32 changed to 0.35
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $287.58changed to$281.32

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.86 changed to 5.27
    • Malpractice RVU 0.33 changed to 0.32
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $287.58

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$397.62$109.70RVU26D
2026-07-01$397.62$109.70RVU26C
2026-04-01$397.62$109.70RVU26B
2026-01-01$397.62$109.70RVU26A
2025-10-01$356.27$119.50RVU25D
2025-07-01$356.27$119.50RVU25C
2025-04-01$356.27$119.50RVU25B
2025-01-01$356.27$119.50RVU25A
2024-10-01$367.25$123.59RVU24D
2024-07-01$367.25$123.59RVU24C
2024-04-01$367.25$123.59RVU24B
2024-03-09$367.25$123.59RVU24AR
2024-01-01$361.26$121.57RVU24A
2023-10-01$374.06$126.34RVU23D
2023-07-01$374.06$126.34RVU23C
2023-04-01$374.06$126.34RVU23B
2023-01-01$374.06$126.34RVU23A
2022-10-01$378.43$129.61RVU22D
2022-07-01$378.43$129.61RVU22C
2022-04-01$378.43$129.61RVU22B
2022-01-01$378.43$129.61RVU22A
2021-10-01$373.53$129.63RVU21D
2021-07-01$373.53$129.63RVU21C
2021-04-01$373.53$129.63RVU21B
2021-01-01$373.53$129.63RVU21A
2020-10-01$353.90$133.03RVU20D
2020-07-01$353.90$133.03RVU20C
2020-04-01$353.90$133.03RVU20B
2020-01-01$353.90$133.03RVU20A
2019-10-01$345.12$132.85RVU19D
2019-07-01$345.12$132.85RVU19C
2019-04-01$345.12$132.85RVU19B
2019-01-01$345.12$132.85RVU19A
2018-10-01$336.32$132.20RVU18D
2018-07-01$336.32$132.20RVU18C
2018-04-01$336.32$132.20RVU18B
2018-01-01$336.32$132.20RVU18AR1
2017-10-01$345.55$133.44RVU17D
2017-07-01$345.55$133.44RVU17C
2017-04-01$345.55$133.44RVU17B
2017-01-01$345.55$133.44RVU17A
2016-10-01$349.09$134.27RVU16D
2016-07-01$349.09$134.27RVU16C
2016-04-01$349.09$134.27RVU16B
2016-01-01$349.09$134.27RVU16A
2015-10-01$279.92$127.92RVU15D
2015-07-01$279.92$127.92RVU15C
2015-04-01$278.53$127.29RVU15B
2015-01-01$278.53$127.29RVU15A
2014-10-01$281.32$128.72RVU14D
2014-07-01$281.32$128.72RVU14C
2014-04-01$281.32$128.72RVU14B
2014-01-01$281.32$128.72RVU14A
2013-10-01$287.58$124.95RVU13D
2013-07-01$287.58$124.95RVU13C
2013-04-01$287.58$124.95RVU13B
2013-01-01$287.58$124.95RVU13AR

Price 30906 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

30906 billing questions

When should 30906 be reported instead of 30905?

Use 30906 for subsequent control of posterior bleeding with posterior packing and/or cautery. Use 30905 for the initial posterior control.

Can 30906 be used for an anterior nosebleed?

No. It is for subsequent posterior hemorrhage control. Anterior bleeding is coded according to its own treatment and complexity, such as 30901 or 30903.

Should modifier 50 be appended when both sides are treated?

The code is already priced as bilateral, and modifier 50 does not increase payment.

Is same-day care included in the procedure payment?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

What documentation supports 30906?

Record that the bleeding source was posterior, why repeat control was required, and whether posterior packing, cautery, or both were used.

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 30906PPRRVU2026_Oct_nonQPP.csv, line 3,482 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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