How Much Does Rhinoplasty Cost? Nose Job Prices in 2024 | RealSelf (2024)

The average cost of rhinoplasty is $8,025, according to 1,461 patient reviews that include information about what they paid.

• The American Society of Plastic Surgeons cites an average cost of $6,324. However, they note that’s just the surgeon's fee. Additional fees for the anesthesia, surgical facility, and other related expenses can add thousands to your bill.
• Nose job costs in the U.S. can range from just $3,229 to as much as $20,000, according to patient reviews. Key factors that can make this nasal surgery more expensive include the complexity of the procedure, the surgeon’s credentials, and the type of anesthesia you have.
• Location can also make a big difference, and the cost of rhinoplasty in U.S. states and major metros varies widely. For example, patients in Michigan typically pay $6,200, while a nose job in New York costs $12,300, on average.

In this guide, we break down:

• what the total cost of rhinoplasty includes
• whether health insurance covers it
• all the factors that will impact your final bill

RealSelf Tip: If you’re not ready for the expense or commitment of nose surgery, you may want to consider a liquid or nonsurgical rhinoplasty. An experienced provider can uses injectable dermal fillers to temporarily smooth bumps, camouflage asymmetries, or raise a flat nasal bridge.

The nonsurgical route is much cheaper, but there are a few drawbacks:

• Results typically last only about 16 months. If you plan to maintain your results over time, surgical rhinoplasty can actually 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

What does the total cost of rhinoplasty include?

As you’re shopping around for the right surgeon, it’s important to understand the details of their cost estimates. Most practices will provide general cost ranges over the phone, though some insist on an in-person consultation first. Others will only tell you the surgeon’s fee, which could be thousands less than your final bill.

“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.”

Once you know their price range is in your ballpark budget, booking an in-person consultation is the next step toward getting a personalized estimate.

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 written, all-in price estimate that includes:

• the rhinoplasty consultation fee (often applied toward the cost of your procedure)
• the surgeon’s fee
• surgical facility fees
• anesthesia fees, for the provider and supplies
• pre- and post-op appointments and follow-up care
• prescription medications or recovery supplies

Also ask how the surgeon handles revision rhinoplasty costs, just in case you’re unhappy with your results or experience a complication.

Why rhinoplasty prices vary

How much you pay for this cosmetic surgery will depend on these factors.

1. Your surgeon’s qualifications and level of experience

A rhinoplasty surgeon’s experience factors heavily into the cost of this surgical procedure.

Board-certified plastic surgeons and facial plastic surgeons who perform nose jobs on a daily basis—for years or decades—can charge more than those with less experience. In fact, many specialize in various types of nose surgery, which are considered to be the most difficult, exacting type of facial plastic surgery.

You can expect those who operate on noses almost exclusively, with consistently impressive rhinoplasty results, to charge more for their time and experience.

On the other hand, these experts tend to have lower revision rates. Choosing an experienced surgeon for your primary rhinoplasty may help you avoid the significant cost, hassle, and emotional toll of a revision procedure.

As you’re choosing your surgeon, pay very close attention to their credentials, board certification, reviews, and before and after photos. During your consultation, ask what percentage of their time is devoted to nasal surgery. If they don’t perform at least 100 rhinoplasties a year, look elsewhere.

As Newport Beach, California, plastic surgeon Dr. Daniel Reichner says, “The best rhinoplasty surgeons are artists.”

2. The complexity of your procedure

The type of rhinoplasty you get is often the biggest predictor of cost. As with any facial surgery, rates reflect the time involved as well as the difficulty of the procedure.

• A cosmetic rhinoplasty procedure with straightforward nose reshaping or size reduction typically takes 1–2 hours and carries the lowest price tag.
• A complex functional rhinoplasty or reconstructive surgery that involves septoplasty surgery for your airway, spreader grafts, a radix graft, and/or nasal tip grafts (to improve tip projection and contour) could take 4 hours or more and require an especially skilled surgeon who bills accordingly. Having to take cartilage from the ear or ribs (for grafting) will inevitably increase a surgeon’s fee.
• Revision rhinoplasties, which are far less predictable and more challenging, are more expensive. For example, Dr. Edwin Williams, a board-certified facial plastic surgeon in Latham, New York, lists an approximate surgeon’s fee of $7,800 for a primary rhinoplasty and $10,500 for revision rhinoplasty.
• Ethnic rhinoplasty procedures may also be more expensive because they require a special skill set and sensitivity to the patient’s racial identity.
• With some surgeons, technique influences the cost of the procedure. In their practice, 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 treatment plan will impact your price. If it seems high, you may want to get a second (or third) opinion, so you can compare plans and price quotes.

3. Where your surgery takes place

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

For example:

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

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.

4. 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.

5. Who administers your anesthesia

A board-certified 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.

6. Whether you have complementary procedures

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

• A chin implant or chin liposuction can create more balanced facial features and improve your profile.
• Some patients have rhinoplasty as part of facelift surgery, to address age-related changes to the nose.

Having additional procedures increases your overall price, but it’s also more cost-effective than having them separately, because you’ll 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 a deviated septum or collapsed nasal passages.

In such cases, a rhinoplasty will often be paired with septoplasty to address the documented medical issues, and insurance covers 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. For example, the CareCredit credit card is widely accepted by providers across the U.S.

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