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Balloon Widening of the Cheek Sinus Opening

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $5,129 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 8 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$1,549$195 to $2,399
FacilityA hospital or hospital-owned outpatient department$5,129$2,188 to $8,913

How much rates vary

Facilitymedian $5,129 · 10th to 90th $525 to $11,220Professionalmedian $1,549 · 10th to 90th $155 to $3,981
$50$200$1K$5K$20Kfacility $5,129professional $1,549

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
$281.84
Median
$5,128.61
Typical High
$10,964.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$1,548.82
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$891.25
Median
$2,398.83
Typical High
$3,548.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,677.35
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$1,230.27
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$275.42
Median
$1,862.09
Typical High
$4,897.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$436.52
Typical High
$3,090.30
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$446.68
Typical High
$3,162.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$1,513.56
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,623.41
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$1,288.25
Typical High
$3,019.95

Where Ohio 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.

Ohio· 29th 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.