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Balloon Widening of the Cheek Sinus Opening

Massachusetts 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?

$1,622

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $2,188 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$1,622$178 to $2,399
FacilityA hospital or hospital-owned outpatient department$2,188$219 to $3,715

How much rates vary

Facilitymedian $2,188 · 10th to 90th $182 to $5,248Professionalmedian $1,622 · 10th to 90th $155 to $4,169
$100$200$500$1K$2K$5K$10Kfacility $2,188professional $1,622

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
$1,737.80
Median
$3,090.30
Typical High
$4,897.79
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$676.08
Median
$676.08
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,548.82
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$389.05
Median
$2,884.03
Typical High
$9,549.93
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,265.80
Typical High
$15,135.61
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,348.96
Typical High
$4,677.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$588.84
Typical High
$4,897.79
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,290.87
Typical High
$3,162.28
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,248.07
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$1,621.81
Typical High
$4,073.80
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,265.80
Typical High
$15,135.61
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,348.96
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,248.07
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,905.46
Typical High
$4,365.16

Where Massachusetts 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.

Massachusetts· 40th of 51

$1,622

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.