go back

Balloon Widening of the Cheek Sinus Opening

New Jersey 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?

$1,905

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $6,457 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 5 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$1,622$174 to $2,239
FacilityA hospital or hospital-owned outpatient department$6,457$4,467 to $9,333

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,905 to $11,749Professionalmedian $1,622 · 10th to 90th $148 to $4,571
$200$500$1K$2K$5K$10K$20Kfacility $6,457professional $1,622

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
$1,905.46
Median
$6,456.54
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$1,698.24
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$933.25
Typical High
$4,570.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$1,862.09
Typical High
$3,019.95
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$21,379.62
Typical High
$32,359.37
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$1,737.80
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$7,079.46
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$1,202.26
Typical High
$3,388.44

Where New Jersey 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.

New Jersey· 16th of 51

$1,905

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.