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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.

Facilitymedian $1,413 · 10th–90th $155$1,7380%20%40%10th90th$1,413Professionalmedian $1,549 · 10th–90th $155$2,2390%10%20%10th90th$1,549$50.0$200.0$1.0K$5.0K

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
$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