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Balloon Widening of the Cheek Sinus Opening

Washington, DC 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.

Facilitymedian $3,236 · 10th–90th $407$7,7620%10%10th90th$3,236Professionalmedian $1,862 · 10th–90th $170$2,1880%20%10th90th$1,862$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$3,981.07
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$446.68
Typical High
$2,137.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$5,623.41
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$1,348.96
Typical High
$4,897.79
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,862.09
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$14,454.40
Typical High
$37,153.52
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$1,698.24
Typical High
$4,365.16