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Balloon Widening of the Cheek Sinus Opening

Connecticut 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?

$2,089

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $7,244 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 5 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$1,622$263 to $3,090
FacilityA hospital or hospital-owned outpatient department$7,244$4,898 to $8,710

How much rates vary

Facilitymedian $7,244 · 10th to 90th $3,467 to $13,804Professionalmedian $1,622 · 10th to 90th $174 to $5,129
$200$500$1K$2K$5K$10K$20Kfacility $7,244professional $1,622

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
$3,467.37
Median
$6,165.95
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$691.83
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$16,218.10
Typical High
$19,952.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$1,584.89
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$354.81
Median
$2,290.87
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$724.44
Typical High
$4,570.88
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,709.64
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$1,698.24
Typical High
$4,168.69

Where Connecticut 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.

Connecticut· 9th of 51

$2,089

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.