go back

Balloon Widening of the Cheek Sinus Opening

Maine 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?

$1,175

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $195 to $2,344.

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.

How much rates vary

Facilitymedian $14,454 · 10th to 90th $14,454 to $14,454Professionalmedian $1,175 · 10th to 90th $166 to $2,884
$100.0$500.0$2.0K$10.0Kfacility $14,454professional $1,175

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$323.59
Typical High
$2,344.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$316.23
Typical High
$2,884.03
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$269.15
Median
$478.63
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$3,630.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$1,737.80
Typical High
$3,019.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$1,737.80
Typical High
$3,467.37

Where Maine 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.

Maine $1,175 · 48th 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.