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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 July 2026.

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

$1,072

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $1,072 for this service. Most negotiated rates run $214 to $2,512.

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

Professionalmedian $1,072 · 10th to 90th $214 to $2,512
$200$500$1K$2K$5Kprofessional $1,072

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
Professional
Modifier
Global
Typical Low
$213.80
Median
$1,071.52
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$2,137.96
Typical High
$4,677.35

Where Vermont 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.

Vermont· 49th of 51

$1,072

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.