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Balloon Widening of the Cheek Sinus Opening

Utah 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?

$1,950

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $5,888 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$1,549$209 to $2,570
FacilityA hospital or hospital-owned outpatient department$5,888$3,162 to $7,762

How much rates vary

Facilitymedian $5,888 · 10th to 90th $200 to $10,233Professionalmedian $1,549 · 10th to 90th $166 to $4,169
$50$200$1K$5K$20Kfacility $5,888professional $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
$199.53
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$1,548.82
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$1,202.26
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$5,495.41
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$13,489.63
Typical High
$20,892.96
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$14,791.08
Median
$20,417.38
Typical High
$30,902.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$3,019.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,754.23
Typical High
$3,235.94
Select Health
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$549.54
Median
$616.60
Typical High
$645.65
Select Health
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$331.13
Median
$363.08
Typical High
$389.05
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$1,949.84
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$1,479.11
Typical High
$3,548.13

Where Utah 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.

Utah· 14th of 51

$1,950

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.