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Balloon Widening of the Cheek Sinus Opening

Montana 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?

$1,820

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $2,818 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$1,820$174 to $2,089
FacilityA hospital or hospital-owned outpatient department$2,818$275 to $3,162

How much rates vary

Facilitymedian $2,818 · 10th to 90th $269 to $3,981Professionalmedian $1,820 · 10th to 90th $148 to $3,162
$200$1K$5K$20K$100Kfacility $2,818professional $1,820

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
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,819.70
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,047.13
Median
$1,905.46
Typical High
$3,235.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$245.47
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$3,388.44
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$2,818.38
Typical High
$3,630.78
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$2,818.38
Typical High
$3,630.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$1,258.93
Typical High
$3,311.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$281.84
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$660.69
Typical High
$3,801.89

Where Montana 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.

Montana· 28th of 51

$1,820

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.