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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 July 2026.

Facilitymedian $8,128 · 10th–90th $269$17,3780%10%10th90th$8,128Professionalmedian $851 · 10th–90th $155$2,8180%10%10th90th$851$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$2,089.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$851.14
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$11,481.54
Typical High
$18,620.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$1,862.09
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$3,235.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,238.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$575.44
Typical High
$4,073.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$9,549.93
Typical High
$30,902.95
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$1,698.24
Typical High
$3,890.45