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Balloon Widening of the Cheek Sinus Opening

Missouri 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?

$1,698

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $1,698 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 7 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$174 to $2,188
FacilityA hospital or hospital-owned outpatient department$2,188$1,259 to $4,074

How much rates vary

Facilitymedian $2,188 · 10th to 90th $692 to $8,318Professionalmedian $1,622 · 10th to 90th $158 to $3,311
$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
$165.96
Median
$3,162.28
Typical High
$12,022.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$933.25
Median
$933.25
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$1,659.59
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$416.87
Median
$1,000.00
Typical High
$3,388.44
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$758.58
Typical High
$2,884.03
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$245.47
Median
$1,122.02
Typical High
$4,265.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$1,513.56
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$13,182.57
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$398.11
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$2,511.89
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,884.03
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,715.35
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$1,584.89
Typical High
$3,162.28

Where Missouri 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.

Missouri· 35th of 51

$1,698

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.