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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 October 2026.

How much does Balloon Widening of the Cheek Sinus Opening cost?

$1,778

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $4,365 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$209 to $2,138
FacilityA hospital or hospital-owned outpatient department$4,365$1,778 to $5,623

How much rates vary

Facilitymedian $4,365 · 10th to 90th $794 to $7,079Professionalmedian $490 · 10th to 90th $174 to $2,630
$50$200$1K$5Kfacility $4,365professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$1,905.46
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$1,548.82
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$154.88
Median
$1,148.15
Typical High
$1,479.11
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$7,585.78
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$1,148.15
Typical High
$2,454.71
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$2,041.74
Typical High
$6,165.95
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$2,089.30
Typical High
$2,754.23
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$151.36
Median
$173.78
Typical High
$1,584.89
Priority Health
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$489.78
Typical High
$2,398.83
United
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,584.89
Typical High
$7,762.47
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$1,659.59
Typical High
$2,630.27

Where Michigan sits

The same service costs 10.0 times more in Alaska than in Nebraska. 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· 25th of 51

$1,778

AK $3,020NE $302

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.