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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 July 2026.

How much does Frontal Sinus Balloon Dilation cost?

$2,089

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $6,457 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 5 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$1,738$200 to $2,692
FacilityA hospital or hospital-owned outpatient department$6,457$4,571 to $9,333

How much rates vary

Facilitymedian $6,457 · 10th to 90th $2,512 to $11,749Professionalmedian $1,738 · 10th to 90th $166 to $4,898
$200$500$1K$2K$5K$10K$20Kfacility $6,457professional $1,738

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
$2,137.96
Median
$6,456.54
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$1,737.80
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$5,495.41
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$1,905.46
Typical High
$3,090.30
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$24,547.09
Typical High
$36,307.81
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$1,778.28
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$7,079.46
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$1,230.27
Typical High
$3,801.89

Where New Jersey sits

The same service costs 8.3 times more in California than in Montana. 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· 14th of 51

$2,089

CA $3,890MT $468

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.