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Balloon Widening of the Cheek Sinus Opening

South Carolina 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 $6,918 · 10th–90th $209$20,4170%5%10%10th90th$6,918Professionalmedian $562 · 10th–90th $155$2,5700%10%10th90th$562$50.0$200.0$1.0K$5.0K$20.0K

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
$190.55
Median
$9,772.37
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$1,659.59
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$562.34
Typical High
$3,311.31
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$2,187.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,760.83
Typical High
$11,481.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$1,513.56
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$501.19
Typical High
$3,311.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$1,479.11
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$12,589.25
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$1,348.96
Typical High
$3,630.78