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Balloon Widening of the Cheek Sinus Opening

Wisconsin 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?

$2,512

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $12,023 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 11 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$1,862$302 to $3,236
FacilityA hospital or hospital-owned outpatient department$12,023$8,710 to $15,488

How much rates vary

Facilitymedian $12,023 · 10th to 90th $3,467 to $20,417Professionalmedian $1,862 · 10th to 90th $191 to $6,607
$100$500$2K$10Kfacility $12,023professional $1,862

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
$190.55
Median
$2,089.30
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,290.87
Median
$2,691.53
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$1,412.54
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$125.89
Median
$478.63
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$12,882.50
Typical High
$21,877.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$1,905.46
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$380.19
Median
$2,884.03
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$549.54
Typical High
$5,888.44
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$3,311.31
Typical High
$5,754.40
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$512.86
Typical High
$4,677.35
DeanCare
Setting
Professional
Modifier
50 · Both sides
Typical Low
$501.19
Median
$776.25
Typical High
$7,079.46
DeanCare
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$53.70
Median
$83.18
Typical High
$758.58
DeanCare
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$46.77
Median
$72.44
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$6,025.60
Typical High
$12,589.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,715.35
Typical High
$8,317.64
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$501.19
Network Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$8,511.38
Typical High
$9,120.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$2,630.27
Typical High
$6,760.83
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$316.23
Typical High
$3,090.30
Quartz
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$1,698.24
Typical High
$5,495.41
Quartz
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$17,378.01
Quartz
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$2,187.76
Typical High
$11,220.18
Security Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$4,265.80
Security Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$933.25
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$10,232.93
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$891.25
Typical High
$7,079.46

Where Wisconsin 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.

Wisconsin· 3rd of 51

$2,512

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.