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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.

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

$1,820

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $8,128 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 6 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$851$191 to $2,239
FacilityA hospital or hospital-owned outpatient department$8,128$2,291 to $13,490

How much rates vary

Facilitymedian $8,128 · 10th to 90th $269 to $17,378Professionalmedian $851 · 10th to 90th $155 to $2,692
$100$1K$10K$100Kfacility $8,128professional $851

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
$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

Where New Mexico 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 Mexico· 23rd of 51

$1,820

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.