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Endoscopic Sphenoid Sinus Balloon Dilation

New Jersey rates for HCPCS 31297

This is an endoscopic procedure that widens the drainage opening of the sphenoid sinus, one of the sinus cavities located behind and above the nasal passages, using a small balloon rather than cutting away tissue. A thin scope with a camera guides the balloon into place through the nostril. It's used to relieve chronic sinus blockage and improve drainage.

Rates data updated July 2026.

How much does Endoscopic Sphenoid Sinus Balloon Dilation cost?

$2,042

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $6,761 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$1,698$162 to $2,630
FacilityA hospital or hospital-owned outpatient department$6,761$4,571 to $9,333

How much rates vary

Facilitymedian $6,761 · 10th to 90th $2,951 to $11,220Professionalmedian $1,698 · 10th to 90th $138 to $4,677
$100$500$2K$10Kfacility $6,761professional $1,698

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
$3,388.44
Median
$6,606.93
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,698.24
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$912.01
Typical High
$5,370.32
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$1,862.09
Typical High
$3,019.95
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$22,387.21
Typical High
$35,481.34
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$1,737.80
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$1,174.90
Typical High
$3,715.35

Where New Jersey sits

The same service costs 8.5 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.

New Jersey· 14th of 51

$2,042

CA $3,981NH $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.