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Balloon Widening of the Cheek Sinus Opening

Florida 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?

$1,660

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $6,457 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 8 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$1,202$170 to $1,905
FacilityA hospital or hospital-owned outpatient department$6,457$2,630 to $10,715

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,047 to $13,804Professionalmedian $1,202 · 10th to 90th $145 to $2,512
$50$200$1K$5K$20Kfacility $6,457professional $1,202

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
$1,000.00
Median
$5,248.07
Typical High
$11,481.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$575.44
Median
$1,737.80
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$1,230.27
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,548.82
Median
$3,235.94
Typical High
$3,715.35
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,096.48
Median
$2,089.30
Typical High
$2,187.76
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$7,413.10
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$1,288.25
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$3,090.30
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$645.65
Typical High
$3,019.95
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$7,943.28
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,288.25
Typical High
$3,162.28
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$1,288.25
Typical High
$1,621.81

Where Florida 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.

Florida· 38th of 51

$1,660

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.