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Balloon Widening of the Cheek Sinus Opening

Georgia 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?

$2,089

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $5,370 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 6 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$1,585$214 to $2,754
FacilityA hospital or hospital-owned outpatient department$5,370$3,162 to $7,586

How much rates vary

Facilitymedian $5,370 · 10th to 90th $2,042 to $10,471Professionalmedian $1,585 · 10th to 90th $170 to $3,388
$200$500$1K$2K$5K$10K$20Kfacility $5,370professional $1,585

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
$2,041.74
Median
$5,370.32
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$1,548.82
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$891.25
Median
$3,090.30
Typical High
$5,370.32
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,122.02
Median
$2,137.96
Typical High
$4,570.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,495.41
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$1,621.81
Typical High
$3,388.44
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$338.84
Median
$2,398.83
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$467.74
Typical High
$3,630.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$1,621.81
Typical High
$3,019.95
Kaiser Permanente
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$10.00
Median
$10.00
Typical High
$97.72
Kaiser Permanente
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$4.90
Median
$4.90
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$5,248.07
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$1,737.80
Typical High
$3,630.78

Where Georgia 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.

Georgia· 8th of 51

$2,089

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.