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Frontal Sinus Balloon Dilation

New Jersey rates for HCPCS 31296

This procedure widens the drainage opening of the frontal sinus, located above the eyebrows, using a small balloon that is inflated briefly to stretch the passage and then removed. It is performed through the nostril with an endoscope, without any external cuts. It is used to relieve chronic blockage or poor drainage of this sinus, often as part of treatment for ongoing sinus symptoms.

Rates data updated October 2026.

How much does Frontal Sinus Balloon Dilation cost?

$1,698

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $3,631 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,259$186 to $2,399
FacilityA hospital or hospital-owned outpatient department$3,631$2,291 to $6,310

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,259 to $9,333Professionalmedian $1,259 · 10th to 90th $151 to $3,981
$100$500$2K$10Kfacility $3,631professional $1,259

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$4,786.30
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$1,737.80
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$138.04
Median
$891.25
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$3,019.95
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$1,096.48
Typical High
$4,365.16
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,691.53
Typical High
$2,691.53
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$5,248.07
Typical High
$26,302.68
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$2,238.72
Typical High
$5,754.40
United
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$3,388.44
Typical High
$7,943.28
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$1,047.13
Typical High
$3,981.07

Where New Jersey sits

The same service costs 10.5 times more in Alaska than in Nebraska. 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.

New Jersey· 29th of 51

$1,698

AK $3,715NE $355

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.