go back

Balloon Widening of the Cheek Sinus Opening

Nebraska 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?

$1,585

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $7,943 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$1,318$234 to $3,090
FacilityA hospital or hospital-owned outpatient department$7,943$6,026 to $11,482

How much rates vary

Facilitymedian $7,943 · 10th to 90th $3,020 to $14,454Professionalmedian $1,318 · 10th to 90th $145 to $4,677
$200$500$1K$2K$5K$10K$20Kfacility $7,943professional $1,318

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
$4,365.16
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$851.14
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,244.36
Typical High
$14,125.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$1,318.26
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$1,513.56
Typical High
$4,466.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$2,630.27
Typical High
$8,709.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,981.07
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$3,388.44
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$6,606.93
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$2,398.83
Typical High
$4,365.16

Where Nebraska 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.

Nebraska· 41st of 51

$1,585

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.