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Balloon Widening of the Cheek Sinus Opening

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $3,388 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$1,660$186 to $2,188
FacilityA hospital or hospital-owned outpatient department$3,388$302 to $7,079

How much rates vary

Facilitymedian $3,388 · 10th to 90th $186 to $10,471Professionalmedian $1,660 · 10th to 90th $170 to $3,388
$100.0$500.0$2.0K$10.0Kfacility $3,388professional $1,660

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
$275.42
Median
$4,365.16
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$1,659.59
Typical High
$3,311.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,302.69
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$549.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$245.47
Median
$812.83
Typical High
$3,981.07
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$489.78
Typical High
$3,467.37
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$1,862.09
Typical High
$5,128.61
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,630.78
Typical High
$4,570.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$1,548.82
Typical High
$3,548.13
Sentara
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,630.27
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,912.51
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$467.74
Typical High
$3,548.13

Where Virginia sits

The same service costs 6.0 times more in California than in New Hampshire. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $1,862 · 19th of 51
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.