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Balloon Widening of the Cheek Sinus Opening

New Hampshire 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?

$933

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $3,715 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$479$214 to $2,455
FacilityA hospital or hospital-owned outpatient department$3,715$2,291 to $7,413

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,188 to $10,000Professionalmedian $479 · 10th to 90th $158 to $3,715
$200$500$1K$2K$5K$10Kfacility $3,715professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,754.23
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$281.84
Typical High
$2,398.83
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$10,000.00
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$380.19
Typical High
$2,454.71
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$316.23
Median
$562.34
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$5,888.44
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$660.69
Typical High
$4,786.30
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,511.89
Typical High
$4,466.84
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$1,737.80
Typical High
$5,128.61
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$4,466.84
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$891.25
Typical High
$4,466.84
Well Sense
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
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
$117.49
Median
$117.49
Typical High
$1,445.44

Where New Hampshire 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.

New Hampshire· 48th of 51

$933

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.