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Balloon Widening of the Cheek Sinus Opening

Kentucky 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?

$1,514

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $1,549 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$1,514$162 to $1,862
FacilityA hospital or hospital-owned outpatient department$1,549$617 to $8,511

How much rates vary

Facilitymedian $1,549 · 10th to 90th $151 to $10,715Professionalmedian $1,514 · 10th to 90th $151 to $2,818
$50.0$200.0$1.0K$5.0Kfacility $1,549professional $1,514

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
$151.36
Median
$1,288.25
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,513.56
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,174.90
Median
$3,548.13
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,380.38
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$229.09
Median
$2,089.30
Typical High
$3,235.94
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$234.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$2,089.30
Typical High
$9,332.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$4,677.35
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$1,479.11
Typical High
$3,162.28

Where Kentucky sits

The same service costs 6.0 times more in California than in New Hampshire. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $1,514 · 44th of 51
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.