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Balloon Widening of the Cheek Sinus Opening

South Dakota 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?

$1,862

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $2,630 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$1,862$263 to $3,020
FacilityA hospital or hospital-owned outpatient department$2,630$389 to $3,981

How much rates vary

Facilitymedian $2,630 · 10th to 90th $191 to $4,365Professionalmedian $1,862 · 10th to 90th $158 to $4,786
$200$500$1K$2K$5K$10Kfacility $2,630professional $1,862

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$1,445.44
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$3,388.44
Typical High
$4,786.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$2,089.30
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$3,548.13
Typical High
$12,022.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$4,466.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$3,890.45
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$2,398.83
Typical High
$3,467.37
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$446.68
Typical High
$5,128.61
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$3,890.45

Where South Dakota 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 Dakota· 18th of 51

$1,862

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.