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Balloon Widening of the Cheek Sinus Opening

Delaware 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 negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $2,042 from a hospital or other facility.

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 3 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,288$200 to $2,399
FacilityA hospital or hospital-owned outpatient department$2,042$1,380 to $3,890

How much rates vary

Facilitymedian $2,042 · 10th to 90th $646 to $5,012Professionalmedian $1,288 · 10th to 90th $151 to $2,951
$200$500$1K$2K$5Kfacility $2,042professional $1,288

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
$138.04
Median
$1,621.81
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$1,548.82
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$114.82
Median
$125.89
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$3,890.45
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$1,288.25
Typical High
$3,090.30
United
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$3,388.44
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$363.08
Typical High
$3,090.30

Where Delaware 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.

Delaware· 38th 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.