go back

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 October 2026.

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

$1,585

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

Insurers have agreed to pay about $1,585 for this service. Most negotiated rates run $186 to $3,311.

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 $468 to $26,915Professionalmedian $437 · 10th to 90th $148 to $4,898
$200$500$1K$2K$5K$10K$20Kfacility $3,981professional $437

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$3,090.30
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$467.74
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$138.04
Median
$138.04
Typical High
$1,621.81
CareFirst
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$162.18
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$1,348.96
Typical High
$4,466.84
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,862.09
Typical High
$4,168.69
United
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$7,943.28
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$436.52
Typical High
$4,786.30

Where Washington, DC sits

The same service costs 10.0 times more in Alaska than in Nebraska. 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· 41st of 51

$1,585

AK $3,020NE $302

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.