Balloon sinuplasty, maxillary cost without insurance
The median hospital cash price for balloon dilation of the maxillary sinus opening, one side is $5,695.20 across 366 US hospitals; most list between $1,559.14 and $15,790.00. The lowest outpatient cash price in any of 183 markets is $491.48. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for balloon sinuplasty, maxillary, the highest negotiated rate in a hospital's file has a median of $16,955.09 and the lowest a median of $1,561.46. At 240 of 256 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 31295?
In this endoscopic procedure a small balloon is passed through the nose and inflated to widen the natural opening of the maxillary (cheek) sinus. It is used for chronic or repeated sinusitis that does not improve with medicine.
What the price covers
The listed price usually covers the procedure for one side; the balloon device may be listed as a separate supply. The surgeon and any anesthesia are billed separately.
Why prices differ
Prices differ sharply between procedures done in an ENT office under local anesthesia and those in a hospital or surgery center under general anesthesia.
What to ask
Ask whether the self-pay price for CPT 31295 is for one side or both, and whether the balloon device and the surgeon's fee are included.
Prices by state
Among 23 states with at least 5 hospitals listing a cash price, the median is lowest in Arkansas ($1,878.41), Wisconsin ($1,917.59) and Minnesota ($2,600.15), and highest in Ohio ($19,625.40), Alabama ($19,384.86) and Oregon ($15,974.40).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$19,384.86
- Alaska$13,322.32, 4 hospitals
- Arizona$7,085.61, 2 hospitals
- Arkansas$1,878.41
- California$4,755.38
- Florida$7,252.04
- Georgia$15,790.00
- Hawaii$13,956.60, 3 hospitals
- Idaho$8,965.50
- Illinois$4,398.60
- Indiana$2,199.86, 3 hospitals
- Iowa$4,636.52, 1 hospital
- Kansas$3,872.40, 1 hospital
- Kentucky$9,247.81, 2 hospitals
- Louisiana$3,874.39
- Massachusetts$8,403.00, 3 hospitals
- Michigan$2,803.90
- Minnesota$2,600.15
- Mississippi$1,904.00, 4 hospitals
- Missouri$5,995.45
- Montana$1,743.44, 4 hospitals
- Nebraska$12,198.75, 1 hospital
- Nevada$8,033.10, 1 hospital
- New Hampshire$2,826.52, 1 hospital
- New Jersey$6,083.00
- New Mexico$7,173.18, 3 hospitals
- New York$8,191.77
- North Carolina$12,244.00, 3 hospitals
- North Dakota$7,120.00
- Ohio$19,625.40
- Oklahoma$14,113.52, 1 hospital
- Oregon$15,974.40
- Pennsylvania$12,532.10
- Rhode Island$7,896.00, 1 hospital
- South Carolina$8,761.20
- South Dakota$7,839.20
- Tennessee$3,349.54
- Texas$4,845.73
- Utah$7,915.42, 1 hospital
- Vermont$1,965.11, 1 hospital
- Virginia$8,084.12, 2 hospitals
- Washington$4,744.02
- Wisconsin$1,917.59
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Albuquerque, NM | 1 | $7,704.91 | $7,704.91 | $7,704.91 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $9,237.12 | $9,237.12 | $9,237.12 | 1.0× |
| Anchorage, AK | 1 | $12,770.00 | $12,770.00 | $12,770.00 | 1.0× |
| Antigo, WI single city | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Appleton, WI | 2 | $4,424.84 | $4,424.84 | $4,424.84 | 1.0× |
| Astoria, OR | 1 | $11,601.00 | $11,601.00 | $11,601.00 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 9 | $1,824.80 | $15,790.00 | $15,790.00 | 8.7× |
| Atlantic City-Hammonton, NJ | 1 | $9,131.17 | $9,131.17 | $9,131.17 | 1.0× |
| Augusta-Richmond County, GA-SC | 1 | $12,460.45 | $12,460.45 | $12,460.45 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 8 | $5,107.38 | $5,107.38 | $5,808.43 | 1.1× |
| Beaumont-Port Arthur, TX | 1 | $6,976.19 | $6,976.19 | $6,976.19 | 1.0× |
| Berlin, WI single city | 1 | $4,424.84 | $4,424.84 | $4,424.84 | 1.0× |
| Birmingham, AL | 2 | $2,748.75 | $11,066.81 | $19,384.86 | 7.1× |
| Boise City, ID | 5 | $4,161.20 | $4,198.35 | $17,730.00 | 4.3× |
| Boston-Cambridge-Newton, MA-NH | 3 | $4,530.00 | $8,403.00 | $8,771.00 | 1.9× |
| Bozeman, MT | 2 | $633.60 | $633.60 | $633.60 | 1.0× |
| Brenham, TX | 1 | $3,027.46 | $3,027.46 | $3,027.46 | 1.0× |
| Buffalo-Cheektowaga, NY | 1 | $9,882.00 | $9,882.00 | $9,882.00 | 1.0× |
| Burlington-South Burlington, VT | 1 | $1,965.11 | $1,965.11 | $1,965.11 | 1.0× |
| Cades, SC single city | 1 | $2,686.00 | $2,686.00 | $2,686.00 | 1.0× |
| Cape Coral-Fort Myers, FL | 4 | $8,037.43 | $8,037.43 | $8,037.43 | 1.0× |
| Carlsbad-Artesia, NM | 1 | $3,396.00 | $3,396.00 | $3,396.00 | 1.0× |
| Centralia, WA | 1 | $3,057.60 | $3,057.60 | $3,057.60 | 1.0× |
| Charleston-North Charleston, SC | 1 | $4,457.00 | $4,457.00 | $4,457.00 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 3 | $12,244.00 | $12,244.00 | $12,244.00 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 8 | $1,382.98 | $2,871.88 | $44,951.34 | 32.5× |
| Chicago-Naperville-Elgin, IL-IN both sides | 3 | $2,311.92 | $2,311.92 | $2,798.64 | 1.2× |
| Cincinnati, OH-KY-IN | 2 | $19,625.40 | $19,625.40 | $19,625.40 | 1.0× |
| Clay Center, KS single city | 1 | $3,872.40 | $3,872.40 | $3,872.40 | 1.0× |
| Cleveland, OH | 1 | $20,697.95 | $20,697.95 | $20,697.95 | 1.0× |
| College Station-Bryan, TX | 4 | $491.48 | $529.08 | $3,027.46 | 6.2× |
| Dallas-Fort Worth-Arlington, TX | 2 | $993.00 | $1,431.90 | $1,870.80 | 1.9× |
| Danville, VA | 1 | $12,096.20 | $12,096.20 | $12,096.20 | 1.0× |
| Daphne-Fairhope-Foley, AL | 1 | $12,695.42 | $12,695.42 | $12,695.42 | 1.0× |
| DeKalb, MS single city | 1 | $1,932.00 | $1,932.00 | $1,932.00 | 1.0× |
| Detroit-Warren-Dearborn, MI | 3 | $4,953.25 | $9,704.27 | $9,704.27 | 2.0× |
| Devils Lake, ND single city | 1 | $4,564.63 | $4,564.63 | $4,564.63 | 1.0× |
| Dothan, AL | 1 | $24,113.77 | $24,113.77 | $24,113.77 | 1.0× |
| Duluth, MN-WI | 2 | $547.81 | $1,573.98 | $2,600.15 | 4.7× |
| Duncan, OK | 1 | $14,113.52 | $14,113.52 | $14,113.52 | 1.0× |
| Eagle River, WI single city | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Eau Claire, WI | 2 | $654.55 | $4,438.37 | $8,222.18 | 12.6× |
| El Paso, TX | 2 | $4,845.73 | $4,845.73 | $4,845.73 | 1.0× |
| Elkhart-Goshen, IN | 1 | $7,175.00 | $7,175.00 | $7,175.00 | 1.0× |
| Elkhart-Goshen, IN both sides | 1 | $7,175.00 | $7,175.00 | $7,175.00 | 1.0× |
| Eureka-Arcata, CA | 2 | $9,438.57 | $9,452.60 | $9,466.62 | 1.0× |
| Fond du Lac, WI | 1 | $4,424.84 | $4,424.84 | $4,424.84 | 1.0× |
| Fort Smith, AR-OK | 2 | $8,818.26 | $8,818.26 | $8,818.26 | 1.0× |
| Freeport, IL | 1 | $4,919.20 | $4,919.20 | $4,919.20 | 1.0× |
| Fresno, CA | 1 | $5,695.20 | $5,695.20 | $5,695.20 | 1.0× |
| Grand Forks, ND-MN | 1 | $4,564.63 | $4,564.63 | $4,564.63 | 1.0× |
| Grand Rapids, MN | 1 | $2,600.15 | $2,600.15 | $2,600.15 | 1.0× |
| Green Bay, WI | 1 | $2,057.57 | $2,057.57 | $2,057.57 | 1.0× |
| Greenville-Anderson-Greer, SC | 1 | $10,928.62 | $10,928.62 | $10,928.62 | 1.0× |
| Greenwood, SC | 2 | $12,460.45 | $13,498.82 | $14,537.19 | 1.2× |
| Hailey, ID | 1 | $17,730.00 | $17,730.00 | $17,730.00 | 1.0× |
| Hammond, LA | 1 | $12,108.61 | $12,108.61 | $12,108.61 | 1.0× |
| Harlan, IA single city | 1 | $4,636.52 | $4,636.52 | $4,636.52 | 1.0× |
| Harrisburg-Carlisle, PA | 3 | $10,749.54 | $14,160.24 | $14,907.17 | 1.4× |
| Harvey, ND single city | 1 | $10,397.00 | $10,397.00 | $10,397.00 | 1.0× |
| Hilton Head Island-Bluffton-Port Royal, SC | 1 | $8,761.20 | $8,761.20 | $8,761.20 | 1.0× |
| Hobbs, NM | 1 | $7,173.18 | $7,173.18 | $7,173.18 | 1.0× |
| Honesdale, PA single city | 1 | $12,532.10 | $12,532.10 | $12,532.10 | 1.0× |
| Hood River, OR | 1 | $13,124.25 | $13,124.25 | $13,124.25 | 1.0× |
| Houghton, MI | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Houma-Bayou Cane-Thibodaux, LA | 1 | $4,491.24 | $4,491.24 | $4,491.24 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 1 | $6,976.19 | $6,976.19 | $6,976.19 | 1.0× |
| Huntsville, AL | 1 | $26,682.62 | $26,682.62 | $26,682.62 | 1.0× |
| Idaho Falls, ID | 2 | $5,201.00 | $5,201.00 | $5,201.00 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 1 | $2,199.86 | $2,199.86 | $2,199.86 | 1.0× |
| Iron River, MI single city | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Ironwood, MI single city | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Janesville-Beloit, WI | 1 | $5,407.74 | $5,407.74 | $5,407.74 | 1.0× |
| Kansas City, MO-KS both sides | 1 | $12,026.99 | $12,026.99 | $12,026.99 | 1.0× |
| Kennewick-Richland, WA | 1 | $3,027.50 | $3,027.50 | $3,027.50 | 1.0× |
| Killeen-Temple, TX | 3 | $3,027.46 | $3,027.46 | $3,027.46 | 1.0× |
| Kirksville, MO | 1 | $28,661.38 | $28,661.38 | $28,661.38 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 1 | $8,809.71 | $8,809.71 | $8,809.71 | 1.0× |
| Klamath Falls, OR | 1 | $6,043.22 | $6,043.22 | $6,043.22 | 1.0× |
| Kodiak, AK single city | 1 | $13,874.64 | $13,874.64 | $13,874.64 | 1.0× |
| La Crosse-Onalaska, WI-MN | 1 | $1,777.60 | $1,777.60 | $1,777.60 | 1.0× |
| Lancaster, PA | 1 | $13,044.34 | $13,044.34 | $13,044.34 | 1.0× |
| Las Vegas-Henderson-North Las Vegas, NV | 1 | $8,033.10 | $8,033.10 | $8,033.10 | 1.0× |
| Lebanon-Claremont, NH-VT | 1 | $2,826.52 | $2,826.52 | $2,826.52 | 1.0× |
| Lima, OH | 1 | $7,308.00 | $7,308.00 | $7,308.00 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 3 | $1,270.50 | $1,270.50 | $1,878.41 | 1.5× |
| Los Angeles-Long Beach-Anaheim, CA | 21 | $936.62 | $3,099.20 | $9,234.25 | 9.9× |
| Lousiana, MO single city | 1 | $14,048.80 | $14,048.80 | $14,048.80 | 1.0× |
| Lubbock, TX | 4 | $7,155.54 | $10,154.34 | $10,154.34 | 1.4× |
| Lufkin, TX | 1 | $28,515.98 | $28,515.98 | $28,515.98 | 1.0× |
| Madison, WI | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Madisonville, TX single city | 1 | $558.85 | $558.85 | $558.85 | 1.0× |
| Magnolia, AR | 1 | $1,878.41 | $1,878.41 | $1,878.41 | 1.0× |
| Marble Falls, TX single city | 1 | $3,027.46 | $3,027.46 | $3,027.46 | 1.0× |
| Marietta, OH | 1 | $4,221.50 | $4,221.50 | $4,221.50 | 1.0× |
| Mayfield, KY | 1 | $5,391.32 | $5,391.32 | $5,391.32 | 1.0× |
| Maysville, KY single city | 1 | $13,104.29 | $13,104.29 | $13,104.29 | 1.0× |
| McCall, ID single city | 1 | $17,730.00 | $17,730.00 | $17,730.00 | 1.0× |
| Medford, OR | 1 | $11,601.00 | $11,601.00 | $11,601.00 | 1.0× |
| Medford, WI single city | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Memphis, TN-MS-AR | 5 | $3,475.51 | $3,475.51 | $3,475.51 | 1.0× |
| Meridian, MS | 2 | $980.00 | $1,428.00 | $1,876.00 | 1.9× |
| Merrill, WI single city | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 4 | $7,252.04 | $7,252.04 | $7,252.04 | 1.0× |
| Milwaukee-Waukesha, WI | 1 | $4,437.16 | $4,437.16 | $4,437.16 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 1 | $4,076.37 | $4,076.37 | $4,076.37 | 1.0× |
| Minot, ND | 2 | $7,120.00 | $7,120.00 | $7,120.00 | 1.0× |
| Missoula, MT | 1 | $7,593.60 | $7,593.60 | $7,593.60 | 1.0× |
| Modesto, CA | 1 | $5,695.20 | $5,695.20 | $5,695.20 | 1.0× |
| Monroe, LA | 1 | $6,420.23 | $6,420.23 | $6,420.23 | 1.0× |
| Moultrie, GA | 1 | $4,451.00 | $4,451.00 | $4,451.00 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 1 | $5,935.95 | $5,935.95 | $5,935.95 | 1.0× |
| Nacogdoches, TX | 1 | $1,129.00 | $1,129.00 | $1,129.00 | 1.0× |
| Napa, CA | 1 | $18,008.61 | $18,008.61 | $18,008.61 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 4 | $1,738.80 | $2,801.07 | $8,823.95 | 5.1× |
| Natchitoches, LA | 2 | $6,534.40 | $11,843.70 | $17,153.00 | 2.6× |
| Navasota, TX single city | 1 | $653.25 | $653.25 | $653.25 | 1.0× |
| New London, WI single city | 1 | $4,424.84 | $4,424.84 | $4,424.84 | 1.0× |
| New Orleans-Metairie, LA | 6 | $1,804.18 | $1,933.05 | $22,351.37 | 12.4× |
| New York-Newark-Jersey City, NY-NJ | 40 | $3,786.00 | $7,740.00 | $31,659.60 | 8.4× |
| Olympia-Lacey-Tumwater, WA | 1 | $3,057.60 | $3,057.60 | $3,057.60 | 1.0× |
| Omaha, NE-IA | 1 | $12,198.75 | $12,198.75 | $12,198.75 | 1.0× |
| Ontario, OR-ID | 1 | $4,198.35 | $4,198.35 | $4,198.35 | 1.0× |
| Orangeburg, SC | 1 | $4,457.00 | $4,457.00 | $4,457.00 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $4,424.84 | $4,424.84 | $4,424.84 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $987.30 | $987.30 | $987.30 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 2 | $6,942.00 | $7,078.50 | $7,215.00 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 1 | $8,660.52 | $8,660.52 | $8,660.52 | 1.0× |
| Pittsburgh, PA | 1 | $30,492.00 | $30,492.00 | $30,492.00 | 1.0× |
| Plainview, TX | 1 | $7,173.18 | $7,173.18 | $7,173.18 | 1.0× |
| Platteville, WI | 1 | $3,731.25 | $3,731.25 | $3,731.25 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 6 | $15,974.40 | $17,541.00 | $17,541.00 | 1.1× |
| Providence-Warwick, RI-MA | 1 | $7,896.00 | $7,896.00 | $7,896.00 | 1.0× |
| Rapid City, SD | 5 | $4,001.80 | $7,839.20 | $9,144.64 | 2.3× |
| Reading, PA | 1 | $11,703.46 | $11,703.46 | $11,703.46 | 1.0× |
| Rexburg, ID | 1 | $8,965.50 | $8,965.50 | $8,965.50 | 1.0× |
| Rhinelander, WI single city | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 5 | $3,099.20 | $3,099.20 | $3,463.20 | 1.1× |
| Rochester, NY | 2 | $12,181.98 | $12,181.98 | $12,181.98 | 1.0× |
| Rockford, IL | 1 | $5,678.13 | $5,678.13 | $5,678.13 | 1.0× |
| Rolla, MO | 1 | $4,744.96 | $4,744.96 | $4,744.96 | 1.0× |
| Rushville, IN single city | 1 | $1,875.00 | $1,875.00 | $1,875.00 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $5,695.20 | $5,695.20 | $5,695.20 | 1.0× |
| Salt Lake City-Murray, UT | 1 | $7,915.42 | $7,915.42 | $7,915.42 | 1.0× |
| San Antonio-New Braunfels, TX | 1 | $5,809.00 | $5,809.00 | $5,809.00 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 9 | $3,099.20 | $4,755.38 | $26,622.40 | 8.6× |
| San Diego-Chula Vista-Carlsbad, CA both sides | 5 | $7,204.40 | $7,204.40 | $7,204.40 | 1.0× |
| San Francisco-Oakland-Fremont, CA | 10 | $5,695.20 | $5,695.20 | $5,695.20 | 1.0× |
| San Jose-Sunnyvale-Santa Clara, CA | 2 | $5,695.20 | $5,695.20 | $5,695.20 | 1.0× |
| Santa Rosa-Petaluma, CA | 4 | $5,695.20 | $12,506.22 | $18,501.78 | 3.2× |
| Seattle-Tacoma-Bellevue, WA | 1 | $4,744.02 | $4,744.02 | $4,744.02 | 1.0× |
| Seward, AK single city | 1 | $12,065.04 | $12,065.04 | $12,065.04 | 1.0× |
| Shawano, WI | 1 | $4,424.84 | $4,424.84 | $4,424.84 | 1.0× |
| Shelbyville, TN | 1 | $2,378.58 | $2,378.58 | $2,378.58 | 1.0× |
| Sherman-Denison, TX | 1 | $3,102.00 | $3,102.00 | $3,102.00 | 1.0× |
| Sidney, MT single city | 1 | $2,853.28 | $2,853.28 | $2,853.28 | 1.0× |
| Sikeston, MO | 1 | $5,995.45 | $5,995.45 | $5,995.45 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $1,804.18 | $1,804.18 | $1,804.18 | 1.0× |
| Spearfish, SD | 2 | $7,839.20 | $7,839.20 | $7,839.20 | 1.0× |
| Spokane-Spokane Valley, WA | 4 | $10,800.30 | $11,464.60 | $16,090.90 | 1.5× |
| Ste. Genevieve, MO single city | 1 | $976.50 | $976.50 | $976.50 | 1.0× |
| Stevens Point-Plover, WI | 2 | $654.55 | $654.55 | $654.55 | 1.0× |
| Stockton-Lodi, CA | 1 | $5,695.20 | $5,695.20 | $5,695.20 | 1.0× |
| Temple, TX single city | 1 | $3,027.46 | $3,027.46 | $3,027.46 | 1.0× |
| Tomahawk, WI single city | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Trenton-Princeton, NJ | 1 | $5,110.00 | $5,110.00 | $5,110.00 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $2,378.58 | $2,378.58 | $2,378.58 | 1.0× |
| Twin Falls, ID | 1 | $17,730.00 | $17,730.00 | $17,730.00 | 1.0× |
| Two Harbors, MN single city | 1 | $828.76 | $828.76 | $828.76 | 1.0× |
| Urban Honolulu, HI | 3 | $13,956.60 | $13,956.60 | $13,956.60 | 1.0× |
| Utica-Rome, NY | 1 | $9,282.18 | $9,282.18 | $9,282.18 | 1.0× |
| Valdez, AK single city | 1 | $13,874.64 | $13,874.64 | $13,874.64 | 1.0× |
| Vallejo, CA | 2 | $5,695.20 | $5,695.20 | $5,695.20 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 1 | $4,072.04 | $4,072.04 | $4,072.04 | 1.0× |
| Waco, TX | 1 | $3,027.46 | $3,027.46 | $3,027.46 | 1.0× |
| Walla Walla, WA | 1 | $3,437.00 | $3,437.00 | $3,437.00 | 1.0× |
| Watertown-Fort Atkinson, WI | 1 | $1,262.40 | $1,262.40 | $1,262.40 | 1.0× |
| Watford City, ND single city | 1 | $9,432.15 | $9,432.15 | $9,432.15 | 1.0× |
| Waupaca, WI single city | 1 | $4,424.84 | $4,424.84 | $4,424.84 | 1.0× |
| Wausau, WI | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Wild Rose, WI single city | 1 | $4,424.84 | $4,424.84 | $4,424.84 | 1.0× |
| Wisconsin Rapids-Marshfield, WI | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Woodruff, WI single city | 1 | $654.55 | $654.55 | $654.55 | 1.0× |
| Youngstown-Warren, OH one side | 1 | $41,653.01 | $41,653.01 | $41,653.01 | 1.0× |
| Yreka, CA single city | 1 | $7,053.00 | $7,053.00 | $7,053.00 | 1.0× |
| Yuma, AZ | 1 | $5,510.70 | $5,510.70 | $5,510.70 | 1.0× |
Common questions
What is CPT code 31295?
CPT 31295 is the billing code for balloon dilation of the maxillary sinus opening, one side. In this endoscopic procedure a small balloon is passed through the nose and inflated to widen the natural opening of the maxillary (cheek) sinus. It is used for chronic or repeated sinusitis that does not improve with medicine.
Does the price cover both sides?
No, the code is for one side. Treating both maxillary sinuses is billed as a bilateral procedure, and other sinuses have their own codes.
Can it be done in the office?
Yes, often under local anesthesia, though some patients have it in an operating room, especially with other sinus surgery.
Is it cheaper to pay cash or use insurance for balloon sinuplasty, maxillary?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for balloon sinuplasty, maxillary has a median of $16,955.09 and the lowest a median of $1,561.46; at 240 of 256 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest balloon sinuplasty, maxillary?
Among 23 states with at least 5 hospitals listing a cash price, the median is lowest in Arkansas ($1,878.41), Wisconsin ($1,917.59) and Minnesota ($2,600.15), and highest in Ohio ($19,625.40), Alabama ($19,384.86) and Oregon ($15,974.40). Prices vary as much between hospitals in the same state, so compare hospitals near you.