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 October 2026.

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

$302

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $269 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$269$204 to $1,479
FacilityA hospital or hospital-owned outpatient department$4,365$2,399 to $7,244

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,479 to $9,550Professionalmedian $269 · 10th to 90th $138 to $4,365
$200$500$1K$2K$5K$10K$20Kfacility $4,365professional $269

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
$1,479.11
Median
$7,244.36
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$1,479.11
Typical High
$1,584.89
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$7,413.10
Typical High
$15,135.61
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$223.87
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,548.13
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$3,019.95
Typical High
$4,466.84
Medica
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$2,630.27
Typical High
$8,709.64
Medica
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$4,265.80
Typical High
$12,022.64
Midlands
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$3,162.28
Typical High
$4,466.84
Midlands
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$4,168.69
Typical High
$5,754.40
Midlands
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$3,019.95
Typical High
$3,467.37
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$2,398.83
Typical High
$8,709.64
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$2,398.83
Typical High
$4,677.35
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$109.65
Median
$109.65
Typical High
$1,096.48

Where Nebraska 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.

Nebraska· 51st of 51

$302

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.