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Balloon Widening of the Cheek Sinus Opening

New Mexico 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?

$1,862

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $4,898 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$1,122$229 to $2,455
FacilityA hospital or hospital-owned outpatient department$4,898$2,455 to $10,471

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,413 to $15,136Professionalmedian $1,122 · 10th to 90th $182 to $3,236
$50$200$1K$5K$20Kfacility $4,898professional $1,122

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
$181.97
Median
$2,041.74
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$363.08
Typical High
$2,630.27
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$11,220.18
Typical High
$17,378.01
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$1,862.09
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$3,630.78
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$302.00
Typical High
$3,162.28
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$446.68
Typical High
$2,238.72
Providence
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$4,073.80
Typical High
$6,309.57
Providence
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$302.00
Typical High
$3,235.94
United
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$3,235.94
Typical High
$13,803.84
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$1,698.24
Typical High
$3,801.89

Where New Mexico 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 Mexico· 20th of 51

$1,862

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.