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Balloon Widening Of Two Sinus Openings

New Jersey rates for HCPCS 31298

A thin scope is passed through the nostril and a balloon is used to stretch open the natural drainage openings of the frontal sinus above the eyes and the sphenoid sinus deeper behind the nose. Widening those openings lets trapped mucus drain and relieves repeated or lingering sinus infection. Very little tissue is cut or removed.

Rates data updated July 2026.

How much does Balloon Widening Of Two Sinus Openings cost?

$3,631

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $7,079 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$3,090$269 to $4,169
FacilityA hospital or hospital-owned outpatient department$7,079$4,677 to $10,233

How much rates vary

Facilitymedian $7,079 · 10th to 90th $3,467 to $11,749Professionalmedian $3,090 · 10th to 90th $234 to $6,918
$200$500$1K$2K$5K$10K$20Kfacility $7,079professional $3,090

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
$3,467.37
Median
$7,079.46
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$3,090.30
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$2,511.89
Typical High
$8,709.64
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$3,548.13
Typical High
$5,623.41
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$22,387.21
Typical High
$35,481.34
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$3,388.44
Typical High
$7,585.78
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
$190.55
Median
$2,238.72
Typical High
$6,456.54

Where New Jersey sits

The same service costs 5.9 times more in Wisconsin 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· 10th of 51

$3,631

WI $4,786NH $813

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.