go back

Balloon Widening of the Cheek Sinus Opening

Michigan 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?

$1,660

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $4,074 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$1,413$191 to $2,042
FacilityA hospital or hospital-owned outpatient department$4,074$2,042 to $5,495

How much rates vary

Facilitymedian $4,074 · 10th to 90th $200 to $6,166Professionalmedian $1,413 · 10th to 90th $155 to $2,239
$200$500$1K$2K$5K$10Kfacility $4,074professional $1,413

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
$199.53
Median
$4,073.80
Typical High
$6,165.95
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$1,548.82
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$177.83
Median
$1,548.82
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$41.69
Typical High
$41.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$1,148.15
Typical High
$2,454.71
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$4,073.80
Typical High
$6,025.60
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$1,995.26
Typical High
$2,951.21
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,585.78
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,737.80
Typical High
$2,951.21

Where Michigan 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.

Michigan· 39th of 51

$1,660

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.