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Balloon Widening of the Cheek Sinus Opening

North Carolina 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?

$1,549

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $1,660 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$1,549$191 to $2,239
FacilityA hospital or hospital-owned outpatient department$1,660$229 to $3,020

How much rates vary

Facilitymedian $1,660 · 10th to 90th $155 to $7,586Professionalmedian $1,549 · 10th to 90th $158 to $3,548
$200$500$1K$2K$5K$10Kfacility $1,660professional $1,549

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
$154.88
Median
$1,659.59
Typical High
$7,413.10
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$676.08
Median
$676.08
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$1,548.82
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$1,621.81
Typical High
$5,011.87
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$1,548.82
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$549.54
Typical High
$3,890.45
Medcost
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$1,258.93
Typical High
$3,019.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$9,332.54
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$1,258.93
Typical High
$3,548.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$17,378.01
Typical High
$17,378.01
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$13,182.57
Typical High
$13,182.57

Where North Carolina 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.

North Carolina· 42nd of 51

$1,549

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.