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Balloon Widening of the Cheek Sinus Opening

Washington 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.

Facilitymedian $4,266 · 10th–90th $302$26,3030%5%10%10th90th$4,266Professionalmedian $1,698 · 10th–90th $174$4,2660%10%10th90th$1,698$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$4,265.80
Typical High
$17,782.79
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$1,698.24
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$1,548.82
Typical High
$3,235.94
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$21,379.62
Typical High
$37,153.52
Asuris Northwest Health
Setting
Facility
Modifier
50 · Both sides
Typical Low
$19,054.61
Median
$31,622.78
Typical High
$56,234.13
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$1,862.09
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$512.86
Typical High
$4,897.79
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$3,162.28
Typical High
$7,762.47
Kaiser Permanente
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,762.47
Median
$21,877.62
Typical High
$48,977.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$2,691.53
Typical High
$5,128.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,090.30
Typical High
$3,715.35
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,344.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$2,238.72
Typical High
$4,168.69
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$20,417.38
Typical High
$37,153.52
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$19,054.61
Median
$30,902.95
Typical High
$56,234.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$1,862.09
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$21,877.62
Typical High
$39,810.72
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$1,584.89
Typical High
$4,365.16
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$2,344.23