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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.

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

$1,660

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $6,918 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 7 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 $1,995
FacilityA hospital or hospital-owned outpatient department$6,918$1,995 to $12,023

How much rates vary

Facilitymedian $6,918 · 10th to 90th $209 to $20,417Professionalmedian $851 · 10th to 90th $155 to $2,570
$50$200$1K$5K$20Kfacility $6,918professional $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
$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

Where South Carolina 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.

South Carolina· 37th of 51

$1,660

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.