$1,022.60
Both address intranasal lesions. Choose 30118 when the lesion is reached through an external approach; choose 30117 for an internal approach.
On this page
CMS RVU26D · Effective 2026-10-01
30118 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$656.66
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Otolaryngology surgery
About 30118: Intranasal lesion removal, external approach
Reports surgical removal or destruction of a lesion inside the nose when the surgeon reaches it through an external approach.
An otolaryngologist uses an external surgical approach to remove or destroy a lesion located within the nasal cavity. The approach distinguishes this service from treatment performed entirely through the nostril. It may be performed in an office procedure setting or a facility, depending on the lesion and operative plan. The operative report should identify the intranasal location, describe the approach and technique, and document the work performed.
Choose this code for an intranasal lesion treated through an external approach, not for a biopsy alone or routine nasal polyp removal. CMS assigns a 90-day global period: the related preoperative visit on the day before surgery and related postoperative care during the following 90 days are included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 30118
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.56 · 40%
- Practice expense (office) RVU10.38 · 54%
- Malpractice RVU1.11 · 6%
66
Medicare services in 2024 · #5180 by national volume
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.
30118 compared with similar codes
Office rates for Modesto, from the same CMS release.
$261.90
30110 is for simple removal of nasal polyp(s). Use 30118 for an intranasal lesion treated through an external approach, not routine polypectomy.
No office rate
30115 describes extensive nasal polyp removal. 30118 concerns an intranasal lesion approached externally, rather than polyp-removal extent.
$149.99
30100 is for biopsy of an intranasal lesion. Use 30118 when the service removes or destroys the lesion rather than sampling it alone.
The same code, a different location
How does Modesto compare?
30118 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 30118
Office
Unavailable
Facility
$656.66
No comparable office rate is available.
Merced
California · 30118
Office
Unavailable
Facility
$656.66
No comparable office rate is available.
Napa
California · 30118
Office
Unavailable
Facility
$744.21
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 30118
Office
Unavailable
Facility
$692.48
No comparable office rate is available.
Redding
California · 30118
Office
Unavailable
Facility
$656.66
No comparable office rate is available.
Rest Of California
California · 30118
Office
Unavailable
Facility
$656.66
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 30118
Office
Unavailable
Facility
$668.67
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 30118
Office
Unavailable
Facility
$684.69
No comparable office rate is available.
Salinas
California · 30118
Office
Unavailable
Facility
$682.04
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 30118
Office
Unavailable
Facility
$694.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 30118
Office
Unavailable
Facility
$782.37
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 30118
Office
Unavailable
Facility
$781.11
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 30118
Office
Unavailable
Facility
$800.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 30118
Office
Unavailable
Facility
$794.95
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 30118
Office
Unavailable
Facility
$671.57
No comparable office rate is available.
Santa Cruz-Watsonville
California · 30118
Office
Unavailable
Facility
$698.93
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 30118
Office
Unavailable
Facility
$683.71
No comparable office rate is available.
Santa Rosa-Petaluma
California · 30118
Office
Unavailable
Facility
$705.71
No comparable office rate is available.
Stockton
California · 30118
Office
Unavailable
Facility
$656.66
No comparable office rate is available.
Vallejo
California · 30118
Office
Unavailable
Facility
$742.39
No comparable office rate is available.
Visalia
California · 30118
Office
Unavailable
Facility
$656.66
No comparable office rate is available.
Yuba City
California · 30118
Office
Unavailable
Facility
$656.66
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 30118
Office
Unavailable
Facility
$715.83
No comparable office rate is available.
Miami
Florida · 30118
Office
Unavailable
Facility
$707.19
No comparable office rate is available.
Chicago
Illinois · 30118
Office
Unavailable
Facility
$687.80
No comparable office rate is available.
Manhattan
New York · 30118
Office
Unavailable
Facility
$730.34
No comparable office rate is available.
Alaska*
Alaska · 30118
Office
Unavailable
Facility
$768.43
No comparable office rate is available.
Alabama
Alabama · 30118
Office
Unavailable
Facility
$576.86
No comparable office rate is available.
Arkansas
Arkansas · 30118
Office
Unavailable
Facility
$569.42
No comparable office rate is available.
Arizona
Arizona · 30118
Office
Unavailable
Facility
$620.20
No comparable office rate is available.
Colorado
Colorado · 30118
Office
Unavailable
Facility
$653.39
No comparable office rate is available.
Connecticut
Connecticut · 30118
Office
Unavailable
Facility
$675.82
No comparable office rate is available.
Delaware
Delaware · 30118
Office
Unavailable
Facility
$629.64
No comparable office rate is available.
Fort Lauderdale
Florida · 30118
Office
Unavailable
Facility
$670.75
No comparable office rate is available.
Rest Of Florida
Florida · 30118
Office
Unavailable
Facility
$639.68
No comparable office rate is available.
Atlanta
Georgia · 30118
Office
Unavailable
Facility
$650.04
No comparable office rate is available.
Rest Of Georgia
Georgia · 30118
Office
Unavailable
Facility
$605.96
No comparable office rate is available.
Hawaii, Guam
Hawaii · 30118
Office
Unavailable
Facility
$668.18
No comparable office rate is available.
Iowa
Iowa · 30118
Office
Unavailable
Facility
$584.46
No comparable office rate is available.
Idaho
Idaho · 30118
Office
Unavailable
Facility
$589.01
No comparable office rate is available.
East St. Louis
Illinois · 30118
Office
Unavailable
Facility
$646.15
No comparable office rate is available.
Rest Of Illinois
Illinois · 30118
Office
Unavailable
Facility
$627.00
No comparable office rate is available.
Suburban Chicago
Illinois · 30118
Office
Unavailable
Facility
$676.04
No comparable office rate is available.
Indiana
Indiana · 30118
Office
Unavailable
Facility
$591.92
No comparable office rate is available.
Kansas
Kansas · 30118
Office
Unavailable
Facility
$584.61
No comparable office rate is available.
Kentucky
Kentucky · 30118
Office
Unavailable
Facility
$594.65
No comparable office rate is available.
New Orleans
Louisiana · 30118
Office
Unavailable
Facility
$620.87
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 30118
Office
Unavailable
Facility
$594.86
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 30118
Office
Unavailable
Facility
$709.82
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 30118
Office
Unavailable
Facility
$651.18
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 30118
Office
Unavailable
Facility
$674.42
No comparable office rate is available.
Rest Of Maryland
Maryland · 30118
Office
Unavailable
Facility
$639.93
No comparable office rate is available.
Rest Of Maine
Maine · 30118
Office
Unavailable
Facility
$594.54
No comparable office rate is available.
Southern Maine
Maine · 30118
Office
Unavailable
Facility
$619.49
No comparable office rate is available.
Detroit
Michigan · 30118
Office
Unavailable
Facility
$649.59
No comparable office rate is available.
Rest Of Michigan
Michigan · 30118
Office
Unavailable
Facility
$610.91
No comparable office rate is available.
Minnesota
Minnesota · 30118
Office
Unavailable
Facility
$620.24
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 30118
Office
Unavailable
Facility
$614.29
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 30118
Office
Unavailable
Facility
$619.72
No comparable office rate is available.
Rest Of Missouri
Missouri · 30118
Office
Unavailable
Facility
$587.48
No comparable office rate is available.
Mississippi
Mississippi · 30118
Office
Unavailable
Facility
$578.42
No comparable office rate is available.
Montana**
Montana · 30118
Office
Unavailable
Facility
$636.21
No comparable office rate is available.
North Carolina
North Carolina · 30118
Office
Unavailable
Facility
$599.67
No comparable office rate is available.
North Dakota**
North Dakota · 30118
Office
Unavailable
Facility
$614.26
No comparable office rate is available.
Nebraska
Nebraska · 30118
Office
Unavailable
Facility
$586.53
No comparable office rate is available.
New Hampshire
New Hampshire · 30118
Office
Unavailable
Facility
$645.87
No comparable office rate is available.
Northern Nj
New Jersey · 30118
Office
Unavailable
Facility
$710.19
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 30118
Office
Unavailable
Facility
$681.88
No comparable office rate is available.
New Mexico
New Mexico · 30118
Office
Unavailable
Facility
$614.96
No comparable office rate is available.
Nevada**
Nevada · 30118
Office
Unavailable
Facility
$630.44
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 30118
Office
Unavailable
Facility
$749.75
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 30118
Office
Unavailable
Facility
$688.37
No comparable office rate is available.
Queens
New York · 30118
Office
Unavailable
Facility
$731.93
No comparable office rate is available.
Rest Of New York
New York · 30118
Office
Unavailable
Facility
$607.94
No comparable office rate is available.
Ohio
Ohio · 30118
Office
Unavailable
Facility
$606.42
No comparable office rate is available.
Oklahoma
Oklahoma · 30118
Office
Unavailable
Facility
$590.92
No comparable office rate is available.
Portland
Oregon · 30118
Office
Unavailable
Facility
$669.32
No comparable office rate is available.
Rest Of Oregon
Oregon · 30118
Office
Unavailable
Facility
$623.89
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 30118
Office
Unavailable
Facility
$662.20
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 30118
Office
Unavailable
Facility
$605.82
No comparable office rate is available.
Puerto Rico
Puerto Rico · 30118
Office
Unavailable
Facility
$639.54
No comparable office rate is available.
Rhode Island
Rhode Island · 30118
Office
Unavailable
Facility
$648.52
No comparable office rate is available.
South Carolina
South Carolina · 30118
Office
Unavailable
Facility
$604.38
No comparable office rate is available.
South Dakota**
South Dakota · 30118
Office
Unavailable
Facility
$611.67
No comparable office rate is available.
Tennessee
Tennessee · 30118
Office
Unavailable
Facility
$587.57
No comparable office rate is available.
Austin
Texas · 30118
Office
Unavailable
Facility
$652.67
No comparable office rate is available.
Beaumont
Texas · 30118
Office
Unavailable
Facility
$602.45
No comparable office rate is available.
Brazoria
Texas · 30118
Office
Unavailable
Facility
$627.03
No comparable office rate is available.
Dallas
Texas · 30118
Office
Unavailable
Facility
$631.91
No comparable office rate is available.
Fort Worth
Texas · 30118
Office
Unavailable
Facility
$628.92
No comparable office rate is available.
Galveston
Texas · 30118
Office
Unavailable
Facility
$629.50
No comparable office rate is available.
Houston
Texas · 30118
Office
Unavailable
Facility
$649.82
No comparable office rate is available.
Rest Of Texas
Texas · 30118
Office
Unavailable
Facility
$615.01
No comparable office rate is available.
Utah
Utah · 30118
Office
Unavailable
Facility
$611.70
No comparable office rate is available.
Virginia
Virginia · 30118
Office
Unavailable
Facility
$619.49
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 30118
Office
Unavailable
Facility
$639.54
No comparable office rate is available.
Vermont
Vermont · 30118
Office
Unavailable
Facility
$614.51
No comparable office rate is available.
Rest Of Washington
Washington · 30118
Office
Unavailable
Facility
$649.08
No comparable office rate is available.
Seattle (King Cnty)
Washington · 30118
Office
Unavailable
Facility
$720.83
No comparable office rate is available.
Wisconsin
Wisconsin · 30118
Office
Unavailable
Facility
$596.07
No comparable office rate is available.
West Virginia
West Virginia · 30118
Office
Unavailable
Facility
$606.85
No comparable office rate is available.
Wyoming**
Wyoming · 30118
Office
Unavailable
Facility
$626.65
No comparable office rate is available.
See how rates vary across the country
30118 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 30118 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$722.33
$656.66 × 110% = $722.33
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 30118 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
3,398
- Code
- 30118
- Physician work
- 7.56
- Practice expense
- 10.38
- Malpractice
- 1.11
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.56 | × 1.017 | 7.6885 |
| Practice expense | 10.38 | × 1.096 | 11.3765 |
| Malpractice | 1.11 | × 0.536 | 0.5950 |
| Total RVUs | 19.6600 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$656.66
Open 30118 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.56 | 1.017 |
| Practice expense | 10.38 | 1.096 |
| Malpractice | 1.11 | 0.536 |
(7.56 × 1.017 + 10.38 × 1.096 + 1.11 × 0.536) × $33.4009 = $656.66
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
30118 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $656.66 | RVU26D |
| 2026-07-01 | Not available in this setting | $656.66 | RVU26C |
| 2026-04-01 | Not available in this setting | $656.66 | RVU26B |
| 2026-01-01 | Not available in this setting | $656.66 | RVU26A |
| 2025-10-01 | Not available in this setting | $710.59 | RVU25D |
| 2025-07-01 | Not available in this setting | $710.59 | RVU25C |
| 2025-04-01 | Not available in this setting | $710.59 | RVU25B |
| 2025-01-01 | Not available in this setting | $710.59 | RVU25A |
30118 billing questions
How does 30118 differ from 30117?
Both concern an intranasal lesion, but 30118 is for an external approach; 30117 is for an internal approach through the nose.
Can 30118 be used for a nasal polyp?
Use the nasal polyp removal code that matches the documented service rather than 30118. Codes 30110 and 30115 distinguish polyp removal by extent.
Is a biopsy reported with 30118?
30118 represents removal or destruction, not sampling alone. For an intranasal biopsy without removal, consider 30100.
Does 30118 include postoperative visits?
Yes. Its 90-day global period includes the related preoperative visit on the day before surgery and related postoperative care during the 90 days after surgery.
Should modifier 50 be appended for both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, with the other procedures subject to the standard multiple procedure reduction. An assistant at surgery is not paid; co-surgeons require supporting documentation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,39530110,,Removal of nose polyp(s),A,,1.64,5.52,,1.72,,0.23,7.39,3.59,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39630115,,Removal of nose polyp(s),A,,4.33,8.03,NA,8.03,,0.62,12.98,12.98,0,090,0.10,0.76,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39730117,,Removal of intranasal lesion,A,,3.81,24.13,,6.85,,0.55,28.49,11.21,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39830118,,Removal of intranasal lesion,A,,7.56,10.38,NA,10.38,,1.11,19.05,19.05,0,090,0.10,0.76,0.14,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,3993011F,,Lipid panel doc rev,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,40030120,,Revision of nose,A,,5.26,9.52,,5.20,,0.75,15.53,11.21,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,40130124,,Removal of nose lesion,A,,3.12,4.80,NA,4.80,,0.45,8.37,8.37,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536