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Balloon Widening of the Cheek Sinus Opening

West 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?

$1,349

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $1,413 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 4 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$1,122$170 to $2,089
FacilityA hospital or hospital-owned outpatient department$1,413$155 to $1,549

How much rates vary

Facilitymedian $1,413 · 10th to 90th $155 to $1,738Professionalmedian $1,122 · 10th to 90th $155 to $2,188
$50$200$1K$5Kfacility $1,413professional $1,122

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
$154.88
Median
$1,412.54
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$204.17
CareSource
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$1,548.82
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,235.94
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$1,096.48
Typical High
$3,311.31

Where West Virginia 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.

West Virginia· 47th of 51

$1,349

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.