Price AtlasInteractive atlas · All states · techysurgeon.comBalloon sinuplasty: what insurers pay
Opening a sinus passage with a balloon: maxillary (31295), frontal (31296) or sphenoid (31297). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 31295: Balloon Sinuplasty
888 hospitals in 75 markets. National Medicare rate $7,210, surgery center $3,105.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 9 | $4,926 | $6,198 | $7,618 | $3,527–$12,728 |
| Alaska (statewide) | 2 | — | — | — | $9,193–$21,928 |
| Arizona (statewide) | 6 | $4,705 | $6,286 | $10,548 | $4,338–$15,863 |
| Arkansas (statewide) | 4 | — | — | — | $5,825–$7,740 |
| Atlanta GA | 6 | $7,040 | $7,040 | $8,315 | $7,040–$8,740 |
| Austin TX | 7 | $6,450 | $6,450 | $10,599 | $6,450–$10,924 |
| Boston MA | 10 | $8,078 | $10,808 | $11,536 | $6,311–$12,933 |
| California (statewide) | 49 | $9,407 | $19,768 | $26,195 | $4,976–$26,195 |
| Charlotte NC | 5 | $8,230 | $8,230 | $8,230 | $8,118–$8,230 |
| Chicago IL | 7 | $7,673 | $8,992 | $10,219 | $6,835–$11,462 |
| Cleveland OH | 10 | $6,897 | $7,345 | $11,275 | $5,614–$12,898 |
| Colorado (statewide) | 14 | $8,001 | $10,140 | $12,364 | $4,440–$18,398 |
| Connecticut (statewide) | 1 | — | — | — | $5,370–$5,370 |
| Dallas-Fort Worth TX | 12 | $9,108 | $9,560 | $10,351 | $8,085–$12,675 |
| Denver CO | 15 | $7,534 | $8,127 | $9,494 | $6,866–$14,320 |
| Detroit MI | 5 | $7,124 | $7,166 | $7,166 | $5,281–$7,708 |
| Florida (statewide) | 58 | $7,342 | $8,174 | $10,706 | $5,618–$15,153 |
| Georgia (statewide) | 26 | $7,040 | $8,066 | $8,740 | $3,121–$26,004 |
| Hawaii (statewide) | 2 | — | — | — | $8,616–$9,026 |
| Houston TX | 18 | $6,077 | $8,059 | $9,626 | $5,963–$13,470 |
| Idaho (statewide) | 13 | $10,013 | $17,349 | $17,583 | $6,187–$34,500 |
| Illinois (statewide) | 23 | $6,968 | $8,319 | $11,063 | $4,222–$20,566 |
| Indiana (statewide) | 24 | $8,534 | $14,784 | $20,580 | $4,316–$36,385 |
| Iowa (statewide) | 11 | $9,382 | $13,618 | $15,177 | $4,398–$18,904 |
| Kansas (statewide) | 8 | $8,412 | $8,769 | $10,654 | $6,000–$21,928 |
| Kentucky (statewide) | 12 | $8,160 | $8,888 | $11,543 | $5,951–$13,018 |
| Las Vegas NV | 2 | — | — | — | $5,542–$9,721 |
| Los Angeles CA | 17 | $10,206 | $11,800 | $14,322 | $7,926–$18,560 |
| Louisiana (statewide) | 18 | $6,080 | $6,528 | $9,061 | $4,198–$11,994 |
| Maine (statewide) | 15 | $28,365 | $32,534 | $32,931 | $17,343–$41,403 |
| Massachusetts (statewide) | 2 | — | — | — | $6,366–$10,071 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $12,924–$12,924 |
| Michigan (statewide) | 16 | $5,666 | $6,702 | $7,122 | $3,945–$11,730 |
| Minneapolis-St. Paul MN | 6 | $5,234 | $5,234 | $9,209 | $5,022–$14,900 |
| Minnesota (statewide) | 10 | $16,414 | $20,311 | $22,977 | $5,234–$30,248 |
| Mississippi (statewide) | 9 | $4,865 | $4,865 | $6,674 | $4,865–$8,014 |
| Missouri (statewide) | 12 | $8,564 | $9,135 | $12,770 | $7,185–$18,477 |
| Montana (statewide) | 3 | — | — | — | $13,744–$20,189 |
| Nashville TN | 7 | $5,783 | $5,818 | $9,026 | $5,597–$13,966 |
| Nebraska (statewide) | 11 | $6,964 | $8,645 | $8,814 | $4,960–$18,020 |
| Nevada (statewide) | 3 | — | — | — | $5,542–$5,542 |
| New Hampshire (statewide) | 5 | $17,059 | $22,378 | $23,445 | $12,993–$31,604 |
| New Jersey (statewide) | 13 | $8,032 | $8,254 | $12,144 | $8,032–$14,421 |
| New Mexico (statewide) | 4 | — | — | — | $8,057–$19,367 |
| New York (statewide) | 25 | $10,128 | $11,209 | $15,116 | $5,424–$20,692 |
| New York City | 7 | $9,511 | $10,704 | $10,704 | $6,307–$10,704 |
| North Carolina (statewide) | 2 | — | — | — | $5,724–$15,322 |
| North Dakota (statewide) | 5 | $10,006 | $11,976 | $12,086 | $5,926–$15,638 |
| Ohio (statewide) | 35 | $8,398 | $13,106 | $15,216 | $4,476–$27,126 |
| Oklahoma (statewide) | 8 | $8,716 | $12,219 | $14,382 | $3,721–$16,926 |
| Oregon (statewide) | 8 | $16,607 | $18,550 | $25,183 | $7,689–$31,606 |
| Pennsylvania (statewide) | 21 | $8,195 | $14,165 | $24,213 | $4,699–$32,464 |
| Philadelphia PA | 10 | $6,763 | $7,712 | $11,004 | $6,259–$13,220 |
| Phoenix AZ | 8 | $6,585 | $6,819 | $7,224 | $6,585–$7,737 |
| Pittsburgh PA | 6 | $14,164 | $14,822 | $16,858 | $12,550–$21,822 |
| Portland OR | 9 | $15,689 | $15,689 | $26,988 | $15,512–$26,988 |
| Rhode Island (statewide) | 4 | — | — | — | $7,896–$13,288 |
| Richmond VA | 3 | — | — | — | $9,358–$10,120 |
| Rio Grande Valley TX | 3 | — | — | — | $7,560–$10,665 |
| Salt Lake City UT | 9 | $5,284 | $5,284 | $5,336 | $5,284–$5,433 |
| San Antonio TX | 3 | — | — | — | $6,281–$9,912 |
| San Diego CA | 6 | $15,885 | $15,885 | $15,885 | $12,844–$16,738 |
| San Francisco Bay Area CA | 4 | — | — | — | $7,545–$22,299 |
| Seattle-Tacoma WA | 16 | $17,560 | $19,201 | $24,180 | $16,915–$27,108 |
| South Carolina (statewide) | 19 | $9,059 | $12,652 | $16,520 | $4,014–$34,118 |
| South Dakota (statewide) | 5 | $3,895 | $4,131 | $10,609 | $3,824–$24,348 |
| Tampa FL | 6 | $10,496 | $10,706 | $10,706 | $6,490–$10,706 |
| Tennessee (statewide) | 20 | $5,659 | $5,858 | $6,514 | $3,280–$14,369 |
| Texas (statewide) | 60 | $7,082 | $8,970 | $9,803 | $4,116–$36,385 |
| Utah (statewide) | 6 | $5,060 | $5,751 | $6,228 | $4,986–$6,231 |
| Virginia (statewide) | 15 | $14,611 | $16,996 | $17,496 | $8,246–$21,715 |
| Washington (statewide) | 10 | $18,645 | $20,304 | $27,154 | $12,062–$35,766 |
| Washington DC | 9 | $8,741 | $8,741 | $8,880 | $6,909–$9,533 |
| West Virginia (statewide) | 3 | — | — | — | $7,684–$46,985 |
| Wisconsin (statewide) | 32 | $9,465 | $10,492 | $12,450 | $4,959–$21,212 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Adventhealth Gordon | Georgia (statewide) | $3,121 | 0.5× | 2 | 2026-04-01 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,280 | 0.5× | 2 | 2026-04-01 |
| Prattville Baptist Hospital | Alabama (statewide) | $3,527 | 0.6× | 1 | 2025-12-30 |
| St Mary'S Regional Medical Center | Oklahoma (statewide) | $3,721 | 0.6× | 1 | 2026-09-01 |
| Atrium Health Navicent Peach | Georgia (statewide) | $3,777 | 0.6× | 2 | 2025-11-19 |
| Monument Health Spearfish Hospital | South Dakota (statewide) | $3,824 | 0.5× | 1 | 2026-09-01 |
| Monument Health Rapid City Hospital | South Dakota (statewide) | $3,895 | 0.5× | 1 | 2026-09-01 |
| Oaklawn Hospital | Michigan (statewide) | $3,945 | 0.6× | 2 | 2026-03-27 |
| Musc Medical Center | South Carolina (statewide) | $4,014 | 0.6× | 1 | 2026-04-01 |
| Musc Health Marion Medical Center | South Carolina (statewide) | $4,014 | 0.6× | 1 | 2026-04-01 |
| Laredo Medical Center | Texas (statewide) | $4,116 | 0.6× | 1 | 2026-09-01 |
| Huron Regional Medical Center | South Dakota (statewide) | $4,131 | 0.6× | 1 | 2026-03-31 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Mainehealth Waldo Hospital | Maine (statewide) | $34,012 | 4.9× | 1 | 2025-09-09 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $34,118 | 5.2× | 1 | 2026-07-20 |
| Saint Alphonsus Regional Medical Center | Idaho (statewide) | $34,500 | 4.8× | 1 | 2026-03-31 |
| Northern Light Mayo Hospital | Maine (statewide) | $34,684 | 5.0× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $35,766 | 4.3× | 5 | 2026-08-27 |
| Parkview Regional Medical Center | Indiana (statewide) | $36,385 | 4.9× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $36,385 | 5.1× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $41,403 | 6.0× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $46,985 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 31296: Balloon Sinuplasty
898 hospitals in 76 markets. National Medicare rate $7,210, surgery center $1,496.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 9 | $6,536 | $8,097 | $10,686 | $4,926–$12,728 |
| Alaska (statewide) | 2 | — | — | — | $9,193–$21,928 |
| Arizona (statewide) | 7 | $4,976 | $7,053 | $9,726 | $4,338–$15,863 |
| Arkansas (statewide) | 4 | — | — | — | $5,825–$7,740 |
| Atlanta GA | 6 | $7,040 | $7,040 | $8,315 | $7,040–$8,740 |
| Austin TX | 7 | $6,450 | $6,450 | $10,599 | $6,450–$10,924 |
| Boston MA | 10 | $8,078 | $10,808 | $11,536 | $6,311–$12,933 |
| California (statewide) | 49 | $9,420 | $19,768 | $26,195 | $4,976–$26,195 |
| Charlotte NC | 5 | $8,230 | $8,230 | $8,230 | $8,118–$8,230 |
| Chicago IL | 7 | $7,673 | $8,992 | $10,219 | $6,835–$11,462 |
| Cleveland OH | 10 | $6,897 | $7,345 | $11,275 | $5,614–$12,898 |
| Colorado (statewide) | 14 | $8,001 | $10,156 | $12,364 | $4,499–$18,398 |
| Connecticut (statewide) | 1 | — | — | — | $5,370–$5,370 |
| Dallas-Fort Worth TX | 12 | $9,108 | $9,560 | $10,351 | $8,085–$12,694 |
| Denver CO | 15 | $7,534 | $8,127 | $9,494 | $6,866–$14,320 |
| Detroit MI | 6 | $5,898 | $6,715 | $7,166 | $3,708–$10,904 |
| Florida (statewide) | 58 | $7,342 | $8,174 | $10,706 | $5,618–$15,153 |
| Georgia (statewide) | 25 | $7,040 | $8,383 | $8,740 | $3,121–$26,004 |
| Hawaii (statewide) | 2 | — | — | — | $8,616–$9,026 |
| Houston TX | 18 | $6,077 | $8,059 | $9,626 | $5,963–$13,470 |
| Idaho (statewide) | 11 | $9,135 | $16,390 | $17,583 | $6,187–$20,737 |
| Illinois (statewide) | 24 | $7,061 | $10,132 | $15,616 | $4,222–$20,566 |
| Indiana (statewide) | 22 | $7,306 | $14,784 | $20,580 | $4,316–$36,385 |
| Indianapolis IN | 1 | — | — | — | $4,660–$4,660 |
| Iowa (statewide) | 10 | $10,630 | $13,671 | $15,274 | $8,190–$18,904 |
| Kansas (statewide) | 9 | $8,348 | $8,520 | $9,734 | $4,744–$20,772 |
| Kentucky (statewide) | 12 | $8,160 | $8,888 | $11,543 | $5,951–$13,018 |
| Las Vegas NV | 2 | — | — | — | $5,542–$12,317 |
| Los Angeles CA | 17 | $10,206 | $11,800 | $14,322 | $7,926–$18,560 |
| Louisiana (statewide) | 17 | $6,292 | $6,543 | $9,160 | $4,198–$11,994 |
| Maine (statewide) | 15 | $28,365 | $32,534 | $32,931 | $17,343–$41,403 |
| Massachusetts (statewide) | 3 | — | — | — | $6,366–$10,071 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $10,686–$12,924 |
| Michigan (statewide) | 18 | $5,666 | $6,444 | $7,032 | $3,945–$11,730 |
| Minneapolis-St. Paul MN | 6 | $5,234 | $5,234 | $9,209 | $5,022–$14,900 |
| Minnesota (statewide) | 10 | $16,414 | $20,311 | $22,977 | $5,234–$30,248 |
| Mississippi (statewide) | 8 | $6,350 | $6,350 | $6,986 | $6,350–$8,014 |
| Missouri (statewide) | 12 | $8,383 | $8,698 | $10,285 | $4,473–$18,000 |
| Montana (statewide) | 4 | — | — | — | $13,744–$20,189 |
| Nashville TN | 7 | $5,783 | $5,818 | $9,716 | $5,597–$13,966 |
| Nebraska (statewide) | 12 | $8,642 | $8,645 | $10,766 | $4,960–$18,020 |
| Nevada (statewide) | 3 | — | — | — | $5,542–$5,542 |
| New Hampshire (statewide) | 5 | $17,059 | $22,378 | $23,445 | $12,993–$31,604 |
| New Jersey (statewide) | 13 | $8,032 | $8,152 | $12,144 | $5,049–$14,421 |
| New Mexico (statewide) | 4 | — | — | — | $10,322–$20,616 |
| New York (statewide) | 24 | $8,192 | $11,580 | $15,122 | $5,459–$20,692 |
| New York City | 7 | $8,192 | $8,192 | $8,584 | $6,307–$9,882 |
| North Carolina (statewide) | 2 | — | — | — | $5,724–$15,322 |
| North Dakota (statewide) | 5 | $10,006 | $11,976 | $12,086 | $5,926–$15,638 |
| Ohio (statewide) | 35 | $9,118 | $13,106 | $15,216 | $4,476–$27,126 |
| Oklahoma (statewide) | 8 | $8,716 | $12,219 | $14,382 | $3,721–$16,926 |
| Oregon (statewide) | 8 | $16,607 | $18,550 | $25,183 | $7,689–$31,606 |
| Pennsylvania (statewide) | 25 | $8,240 | $15,774 | $23,843 | $4,699–$32,464 |
| Philadelphia PA | 10 | $6,763 | $7,712 | $11,004 | $6,259–$13,220 |
| Phoenix AZ | 8 | $6,585 | $6,819 | $7,224 | $6,585–$7,737 |
| Pittsburgh PA | 5 | $14,058 | $14,484 | $15,160 | $12,550–$17,424 |
| Portland OR | 9 | $15,689 | $15,689 | $26,988 | $15,512–$26,988 |
| Rhode Island (statewide) | 4 | — | — | — | $7,896–$13,288 |
| Richmond VA | 3 | — | — | — | $9,358–$10,120 |
| Rio Grande Valley TX | 3 | — | — | — | $7,560–$10,665 |
| Salt Lake City UT | 9 | $3,757 | $3,757 | $3,825 | $3,757–$5,433 |
| San Antonio TX | 3 | — | — | — | $6,281–$9,912 |
| San Diego CA | 6 | $15,431 | $15,431 | $15,431 | $12,844–$16,738 |
| San Francisco Bay Area CA | 4 | — | — | — | $7,545–$22,299 |
| Seattle-Tacoma WA | 16 | $17,560 | $19,201 | $24,180 | $16,915–$27,108 |
| South Carolina (statewide) | 19 | $9,059 | $12,652 | $16,520 | $4,014–$34,118 |
| South Dakota (statewide) | 4 | — | — | — | $3,824–$24,348 |
| Tampa FL | 6 | $10,496 | $10,706 | $10,706 | $6,490–$10,706 |
| Tennessee (statewide) | 20 | $5,659 | $5,858 | $7,630 | $3,280–$14,369 |
| Texas (statewide) | 63 | $7,158 | $9,560 | $10,351 | $4,138–$36,385 |
| Utah (statewide) | 6 | $3,706 | $4,346 | $5,907 | $3,689–$6,231 |
| Virginia (statewide) | 18 | $14,652 | $17,050 | $20,320 | $8,246–$22,137 |
| Washington (statewide) | 10 | $18,645 | $20,304 | $27,154 | $12,062–$41,561 |
| Washington DC | 9 | $8,741 | $8,741 | $8,880 | $7,890–$9,889 |
| West Virginia (statewide) | 3 | — | — | — | $7,684–$46,985 |
| Wisconsin (statewide) | 32 | $9,465 | $10,492 | $12,450 | $4,959–$21,212 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Adventhealth Gordon | Georgia (statewide) | $3,121 | 0.5× | 2 | 2026-04-01 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,280 | 0.5× | 2 | 2026-04-01 |
| Intermountain Health Park City Hospital | Utah (statewide) | $3,689 | 0.5× | 1 | 2026-08-05 |
| Intermountain Health Heber Valley Hospital | Utah (statewide) | $3,689 | 0.5× | 1 | 2026-08-05 |
| Trinity Health Livingston Hospital | Detroit MI | $3,708 | 0.5× | 24 | 2026-03-31 |
| St Mary'S Regional Medical Center | Oklahoma (statewide) | $3,721 | 0.6× | 1 | 2026-09-01 |
| Intermountain Medical Center | Salt Lake City UT | $3,757 | 0.5× | 2 | 2026-08-05 |
| American Fork Hospital | Salt Lake City UT | $3,757 | 0.5× | 2 | 2026-08-05 |
| Orem Community Hospital | Salt Lake City UT | $3,757 | 0.5× | 2 | 2026-08-05 |
| Intermountain Health Alta View Hospital | Salt Lake City UT | $3,757 | 0.5× | 2 | 2026-08-05 |
| Intermountain Health Riverton Hospital | Utah (statewide) | $3,757 | 0.5× | 2 | 2026-08-05 |
| Intermountain Health Layton Hospital | Salt Lake City UT | $3,757 | 0.5× | 2 | 2026-08-05 |
| Northern Light Mercy Hospital | Maine (statewide) | $32,931 | 4.6× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Mainehealth Waldo Hospital | Maine (statewide) | $34,012 | 4.9× | 1 | 2025-09-09 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $34,118 | 5.2× | 1 | 2026-07-20 |
| Northern Light Mayo Hospital | Maine (statewide) | $34,684 | 5.0× | 2 | 2026-03-30 |
| Parkview Regional Medical Center | Indiana (statewide) | $36,385 | 4.9× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $36,385 | 5.1× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $41,403 | 6.0× | 1 | 2025-09-09 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $41,561 | 5.0× | 4 | 2026-08-27 |
| Logan Regional Medical Center | West Virginia (statewide) | $46,985 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 31297: Balloon Sinuplasty
865 hospitals in 76 markets. National Medicare rate $7,210, surgery center $3,113.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 6 | $6,806 | $7,779 | $8,128 | $6,194–$12,728 |
| Alaska (statewide) | 2 | — | — | — | $9,193–$21,928 |
| Arizona (statewide) | 6 | $4,705 | $6,286 | $10,548 | $4,338–$15,863 |
| Arkansas (statewide) | 2 | — | — | — | $6,005–$6,058 |
| Atlanta GA | 6 | $5,812 | $5,812 | $7,158 | $5,812–$7,606 |
| Austin TX | 7 | $5,800 | $5,800 | $10,599 | $5,800–$10,924 |
| Boston MA | 10 | $8,550 | $10,808 | $11,536 | $6,311–$12,933 |
| California (statewide) | 48 | $9,417 | $20,096 | $26,195 | $4,955–$26,195 |
| Charlotte NC | 5 | $8,230 | $8,230 | $8,230 | $8,118–$8,230 |
| Chicago IL | 7 | $7,295 | $8,593 | $9,742 | $5,908–$12,184 |
| Cleveland OH | 10 | $5,318 | $7,345 | $11,275 | $4,243–$12,898 |
| Colorado (statewide) | 13 | $6,957 | $10,741 | $13,926 | $4,406–$18,398 |
| Connecticut (statewide) | 1 | — | — | — | $5,370–$5,370 |
| Dallas-Fort Worth TX | 11 | $6,135 | $6,794 | $9,676 | $5,023–$10,368 |
| Denver CO | 15 | $6,550 | $7,348 | $13,773 | $6,222–$14,320 |
| Detroit MI | 4 | — | — | — | $6,222–$7,166 |
| Florida (statewide) | 58 | $6,736 | $7,206 | $8,215 | $5,254–$19,365 |
| Georgia (statewide) | 25 | $5,400 | $7,606 | $8,383 | $3,134–$26,004 |
| Hawaii (statewide) | 2 | — | — | — | $8,616–$9,026 |
| Houston TX | 18 | $5,000 | $6,952 | $9,626 | $4,904–$13,470 |
| Idaho (statewide) | 11 | $10,990 | $16,390 | $17,583 | $6,187–$20,737 |
| Illinois (statewide) | 23 | $6,081 | $7,295 | $11,300 | $4,270–$20,566 |
| Indiana (statewide) | 22 | $7,500 | $14,471 | $20,580 | $4,316–$36,385 |
| Indianapolis IN | 1 | — | — | — | $4,616–$4,616 |
| Iowa (statewide) | 10 | $10,630 | $14,160 | $15,274 | $8,190–$18,904 |
| Kansas (statewide) | 8 | $5,346 | $7,278 | $8,824 | $4,600–$21,928 |
| Kentucky (statewide) | 12 | $7,901 | $9,302 | $11,982 | $5,808–$13,602 |
| Las Vegas NV | 2 | — | — | — | $5,542–$12,317 |
| Los Angeles CA | 17 | $10,206 | $11,800 | $14,322 | $7,842–$18,560 |
| Louisiana (statewide) | 18 | $5,898 | $6,456 | $8,555 | $4,020–$11,740 |
| Maine (statewide) | 15 | $28,365 | $32,534 | $32,931 | $17,343–$41,403 |
| Massachusetts (statewide) | 2 | — | — | — | $6,366–$10,548 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $12,924–$12,924 |
| Michigan (statewide) | 14 | $5,666 | $5,912 | $6,891 | $3,945–$7,065 |
| Minneapolis-St. Paul MN | 6 | $6,057 | $10,719 | $13,866 | $4,518–$15,835 |
| Minnesota (statewide) | 10 | $16,414 | $20,311 | $22,977 | $10,764–$30,248 |
| Mississippi (statewide) | 9 | $6,256 | $6,256 | $8,014 | $6,256–$12,778 |
| Missouri (statewide) | 11 | $7,410 | $7,551 | $11,214 | $5,023–$18,000 |
| Montana (statewide) | 3 | — | — | — | $13,744–$20,189 |
| Nashville TN | 7 | $5,748 | $5,748 | $9,680 | $5,597–$13,966 |
| Nebraska (statewide) | 11 | $6,366 | $8,645 | $8,814 | $4,024–$18,020 |
| Nevada (statewide) | 3 | — | — | — | $5,542–$5,542 |
| New Hampshire (statewide) | 5 | $17,059 | $22,378 | $23,445 | $12,993–$31,604 |
| New Jersey (statewide) | 6 | $10,624 | $11,676 | $13,124 | $8,152–$14,421 |
| New Mexico (statewide) | 4 | — | — | — | $4,030–$20,616 |
| New York (statewide) | 24 | $8,192 | $11,326 | $15,122 | $5,476–$20,692 |
| New York City | 6 | $8,192 | $8,192 | $8,192 | $5,908–$8,975 |
| North Carolina (statewide) | 2 | — | — | — | $5,724–$15,322 |
| North Dakota (statewide) | 5 | $10,006 | $11,976 | $12,086 | $5,176–$15,638 |
| Ohio (statewide) | 35 | $8,812 | $12,440 | $15,216 | $4,208–$27,126 |
| Oklahoma (statewide) | 8 | $7,480 | $11,099 | $14,382 | $3,721–$16,926 |
| Oregon (statewide) | 7 | $17,727 | $19,372 | $25,830 | $13,087–$31,606 |
| Pennsylvania (statewide) | 22 | $10,122 | $14,970 | $24,120 | $6,682–$32,464 |
| Philadelphia PA | 11 | $6,788 | $10,070 | $11,124 | $6,259–$13,220 |
| Phoenix AZ | 8 | $5,946 | $6,500 | $7,224 | $5,946–$7,737 |
| Pittsburgh PA | 5 | $14,058 | $14,484 | $15,160 | $12,550–$17,424 |
| Portland OR | 9 | $15,689 | $15,689 | $26,622 | $15,512–$26,622 |
| Rhode Island (statewide) | 4 | — | — | — | $7,896–$13,288 |
| Richmond VA | 3 | — | — | — | $8,137–$9,181 |
| Rio Grande Valley TX | 3 | — | — | — | $7,062–$10,665 |
| Salt Lake City UT | 9 | $3,734 | $3,734 | $3,825 | $3,734–$5,433 |
| San Antonio TX | 3 | — | — | — | $5,154–$10,725 |
| San Diego CA | 5 | $15,431 | $15,431 | $15,431 | $15,431–$16,738 |
| San Francisco Bay Area CA | 4 | — | — | — | $6,682–$20,033 |
| Seattle-Tacoma WA | 16 | $17,560 | $19,201 | $24,180 | $16,915–$27,108 |
| South Carolina (statewide) | 19 | $9,059 | $10,846 | $15,445 | $4,014–$34,118 |
| South Dakota (statewide) | 2 | — | — | — | $10,609–$24,348 |
| Tampa FL | 6 | $7,956 | $7,956 | $7,956 | $5,282–$10,426 |
| Tennessee (statewide) | 21 | $5,659 | $5,748 | $7,696 | $3,236–$14,369 |
| Texas (statewide) | 61 | $5,023 | $6,988 | $9,312 | $4,106–$36,385 |
| Utah (statewide) | 6 | $3,628 | $4,323 | $5,901 | $3,592–$6,231 |
| Virginia (statewide) | 18 | $13,532 | $13,700 | $18,568 | $6,716–$22,137 |
| Washington (statewide) | 11 | $17,565 | $20,270 | $25,149 | $12,062–$41,561 |
| Washington DC | 9 | $6,158 | $6,158 | $7,890 | $6,158–$9,889 |
| West Virginia (statewide) | 4 | — | — | — | $5,969–$46,985 |
| Wisconsin (statewide) | 32 | $7,413 | $7,651 | $10,235 | $4,959–$21,212 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Adventhealth Gordon | Georgia (statewide) | $3,134 | 0.5× | 1 | 2026-04-01 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,236 | 0.5× | 1 | 2026-04-01 |
| Intermountain Health Park City Hospital | Utah (statewide) | $3,592 | 0.5× | 1 | 2026-08-05 |
| Intermountain Health Heber Valley Hospital | Utah (statewide) | $3,592 | 0.5× | 1 | 2026-08-05 |
| St Mary'S Regional Medical Center | Oklahoma (statewide) | $3,721 | 0.6× | 1 | 2026-09-01 |
| Intermountain Medical Center | Salt Lake City UT | $3,734 | 0.5× | 2 | 2026-08-05 |
| American Fork Hospital | Salt Lake City UT | $3,734 | 0.5× | 2 | 2026-08-05 |
| Orem Community Hospital | Salt Lake City UT | $3,734 | 0.5× | 2 | 2026-08-05 |
| Intermountain Health Alta View Hospital | Salt Lake City UT | $3,734 | 0.5× | 2 | 2026-08-05 |
| Intermountain Health Riverton Hospital | Utah (statewide) | $3,734 | 0.5× | 2 | 2026-08-05 |
| Intermountain Health Layton Hospital | Salt Lake City UT | $3,734 | 0.5× | 2 | 2026-08-05 |
| Intermountain Health Spanish Fork Hospital | Salt Lake City UT | $3,734 | 0.5× | 2 | 2026-08-05 |
| Northern Light Mercy Hospital | Maine (statewide) | $32,931 | 4.6× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Mainehealth Waldo Hospital | Maine (statewide) | $34,012 | 4.9× | 1 | 2025-09-09 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $34,118 | 5.2× | 1 | 2026-07-20 |
| Northern Light Mayo Hospital | Maine (statewide) | $34,684 | 5.0× | 2 | 2026-03-30 |
| Parkview Regional Medical Center | Indiana (statewide) | $36,385 | 4.9× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $36,385 | 5.1× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $41,403 | 6.0× | 1 | 2025-09-09 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $41,561 | 5.0× | 4 | 2026-08-27 |
| Logan Regional Medical Center | West Virginia (statewide) | $46,985 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for balloon sinuplasty?
Across 888 hospitals in 75 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 31295, hospital outpatient is $9,595, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,240 to $14,697. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for balloon sinuplasty?
Medicare's national hospital outpatient rate for CPT 31295 is $7,210 and its surgery-center rate is $3,105, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for balloon sinuplasty?
Lowest medians: Adventhealth Gordon ($3,121), Livingston Regional Hospital ($3,280), Prattville Baptist Hospital ($3,527). Highest: Logan Regional Medical Center ($46,985), Mainehealth Lincoln Hospital ($41,403), Parkview Hospital ($36,385). Coverage: every hospital whose price file we could read.