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Balloon Widening of the Cheek Sinus Opening

Indiana 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?

$1,862

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $19,953 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$1,349$174 to $2,042
FacilityA hospital or hospital-owned outpatient department$19,953$8,128 to $28,184

How much rates vary

Facilitymedian $19,953 · 10th to 90th $1,660 to $31,623Professionalmedian $1,349 · 10th to 90th $151 to $2,692
$200$1K$5K$20Kfacility $19,953professional $1,349

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
$218.78
Median
$2,754.23
Typical High
$11,220.18
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$0.85
Median
$5,754.40
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,380.38
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$25,118.86
Typical High
$33,113.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,230.27
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$229.09
Median
$1,659.59
Typical High
$4,897.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$158.49
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$1,023.29
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,762.47
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$1,380.38
Typical High
$3,019.95

Where Indiana 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.

Indiana· 22nd of 51

$1,862

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.