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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.

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

$2,138

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $2,138 for this service. Most negotiated rates run $186 to $3,090.

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.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $407 to $7,762Professionalmedian $1,862 · 10th to 90th $170 to $2,188
$200$500$1K$2K$5K$10K$20Kfacility $3,981professional $1,862

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
$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

Where Washington, DC 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.

Washington, DC· 6th 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.