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Balloon Widening of the Cheek Sinus Opening

Vermont 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 October 2026.

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

$1,349

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,349 for this service. Most negotiated rates run $234 to $2,692.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,188 · 10th to 90th $468 to $6,918Professionalmedian $1,349 · 10th to 90th $214 to $3,388
$200$500$1K$2K$5Kfacility $2,188professional $1,349

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$354.81
Typical High
$3,090.30
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$1,819.70
Typical High
$4,365.16

Where Vermont sits

The same service costs 10.0 times more in Alaska than in Nebraska. 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.

Vermont· 44th of 51

$1,349

AK $3,020NE $302

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.