go back

Balloon Widening of the Cheek Sinus Opening

Iowa 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 Iowa, 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 $4,898 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 7 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$229 to $2,818
FacilityA hospital or hospital-owned outpatient department$4,898$3,467 to $7,079

How much rates vary

Facilitymedian $4,898 · 10th to 90th $468 to $13,490Professionalmedian $1,585 · 10th to 90th $166 to $5,370
$200$500$1K$2K$5K$10K$20Kfacility $4,898professional $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
$933.25
Median
$4,265.80
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$1,000.00
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$389.05
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$3,090.30
Typical High
$4,786.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$2,290.87
Typical High
$5,370.32
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$4,570.88
Typical High
$17,378.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$3,467.37
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$3,715.35
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$9,772.37
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$1,659.59
Typical High
$5,128.61
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$3,715.35

Where Iowa 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.

Iowa· 10th 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.