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Balloon Widening of the Cheek Sinus Opening

Colorado rates for HCPCS 31295

A slim balloon-tipped instrument is guided by a camera into the drainage opening of the sinus behind the cheek, reached either through the nostril or through a small opening made above the upper teeth. Inflating the balloon widens that opening so the sinus can drain, easing long-standing congestion, facial pressure and repeated infections. No tissue is cut away.

Rates data updated July 2026.

How much does Balloon Widening of the Cheek Sinus Opening cost?

$2,138

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $10,715 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,660$186 to $2,138
FacilityA hospital or hospital-owned outpatient department$10,715$3,548 to $18,621

How much rates vary

Facilitymedian $10,715 · 10th to 90th $1,905 to $28,840Professionalmedian $1,660 · 10th to 90th $174 to $2,951
$200$500$1K$2K$5K$10K$20Kfacility $10,715professional $1,660

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$5,370.32
Typical High
$7,585.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$1,659.59
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$18,197.01
Typical High
$33,113.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$1,445.44
Typical High
$3,090.30
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$199.53
Median
$2,137.96
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$3,467.37
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$1,659.59
Typical High
$3,090.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$2,344.23
Typical High
$6,606.93
Select Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$269.15
Typical High
$3,467.37
Select Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$158.49
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,918.31
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$1,148.15
Typical High
$3,630.78

Where Colorado sits

The same service costs 6.0 times more in California than in New Hampshire. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 5th of 51

$2,138

CA $3,020NH $501

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.