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Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 31295
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| St David's Medical Center median $6,450 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,806 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $5,849 | 0.8× | 1 |
| Evry Health | $5,499 | 0.8× | 1 |
| Harbor Health Team | $6,450 | 0.9× | 1 |
| Healthcare Highways (rental network) | $6,162 | 0.9× | 2 |
| MODA Health | $6,746 | 1.0× | 2 |
| Moda | $5,502 | 0.8× | 1 |
| Nomi Health | $5,320 | 0.8× | 3 |
| Oscar | $7,019 | 1.0× | 5 |
| UnitedHealthcare | $8,593 | 1.2× | 3 |
| St David's South Austin Medical Center median $6,450 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,806 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $5,849 | 0.8× | 1 |
| Evry Health | $5,499 | 0.8× | 1 |
| Harbor Health Team | $6,450 | 0.9× | 1 |
| Healthcare Highways (rental network) | $6,162 | 0.9× | 2 |
| MODA Health | $6,746 | 1.0× | 2 |
| Moda | $5,502 | 0.8× | 1 |
| Nomi Health | $5,320 | 0.8× | 3 |
| Oscar | $7,019 | 1.0× | 5 |
| UnitedHealthcare | $8,593 | 1.2× | 3 |
| Round Rock Medical Center median $6,450 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,806 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $5,849 | 0.8× | 1 |
| Evry Health | $5,499 | 0.8× | 1 |
| Harbor Health Team | $6,450 | 0.9× | 1 |
| Healthcare Highways (rental network) | $6,162 | 0.9× | 2 |
| MODA Health | $6,746 | 1.0× | 2 |
| Moda | $5,502 | 0.8× | 1 |
| Nomi Health | $5,320 | 0.8× | 3 |
| Oscar | $7,019 | 1.0× | 5 |
| UnitedHealthcare | $8,593 | 1.2× | 3 |
| North Austin Medical Center median $6,450 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,806 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $5,849 | 0.8× | 1 |
| Evry Health | $5,499 | 0.8× | 1 |
| Harbor Health Team | $6,450 | 0.9× | 1 |
| Healthcare Highways (rental network) | $6,162 | 0.9× | 2 |
| MODA Health | $6,746 | 1.0× | 2 |
| Moda | $5,502 | 0.8× | 1 |
| Nomi Health | $5,320 | 0.8× | 3 |
| Oscar | $7,019 | 1.0× | 5 |
| UnitedHealthcare | $8,593 | 1.2× | 3 |
| Scott & White Hospital-Round Rock median $10,599 · local Medicare $7,090 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $10,103 | 1.4× | 2 |
| Cigna | $8,649 | 1.2× | 2 |
| HealthSmart (rental network) | $6,106 | 0.9× | 1 |
| Humana | $11,746 | 1.7× | 1 |
| Injury Management Organization | $10,599 | 1.5× | 1 |
| Mark Cuban | $16,955 | 2.4× | 1 |
| Sedgwick | $10,599 | 1.5× | 1 |
| UnitedHealthcare | $6,309 | 0.9× | 1 |
| Baylor Scott & White Medical Center ? Pflugerville median $10,599 · local Medicare $7,090 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $10,103 | 1.4× | 2 |
| Cigna | $8,649 | 1.2× | 2 |
| HealthSmart (rental network) | $6,106 | 0.9× | 1 |
| Humana | $11,746 | 1.7× | 1 |
| Mark Cuban | $16,955 | 2.4× | 1 |
| Sedgwick | $10,599 | 1.5× | 1 |
| Baylor Scott & White Medical Center- Austin median $10,924 · local Medicare $7,090 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $10,103 | 1.4× | 2 |
| Cigna | $8,649 | 1.2× | 2 |
| Humana | $11,746 | 1.7× | 1 |
| Mark Cuban | $16,955 | 2.4× | 1 |
CPT 31296
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| St David's Medical Center median $6,450 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,987 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $5,849 | 0.8× | 1 |
| Evry Health | $5,499 | 0.8× | 1 |
| Harbor Health Team | $6,450 | 0.9× | 1 |
| Healthcare Highways (rental network) | $6,162 | 0.9× | 2 |
| MODA Health | $6,746 | 1.0× | 2 |
| Moda | $5,502 | 0.8× | 1 |
| Nomi Health | $5,320 | 0.8× | 3 |
| Oscar | $7,019 | 1.0× | 5 |
| UnitedHealthcare | $8,593 | 1.2× | 3 |
| St David's South Austin Medical Center median $6,450 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,987 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $5,849 | 0.8× | 1 |
| Evry Health | $5,499 | 0.8× | 1 |
| Harbor Health Team | $6,450 | 0.9× | 1 |
| Healthcare Highways (rental network) | $6,162 | 0.9× | 2 |
| MODA Health | $6,746 | 1.0× | 2 |
| Moda | $5,502 | 0.8× | 1 |
| Nomi Health | $5,320 | 0.8× | 3 |
| Oscar | $7,019 | 1.0× | 5 |
| UnitedHealthcare | $8,593 | 1.2× | 3 |
| Round Rock Medical Center median $6,450 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,987 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $5,849 | 0.8× | 1 |
| Evry Health | $5,499 | 0.8× | 1 |
| Harbor Health Team | $6,450 | 0.9× | 1 |
| Healthcare Highways (rental network) | $6,162 | 0.9× | 2 |
| MODA Health | $6,746 | 1.0× | 2 |
| Moda | $5,502 | 0.8× | 1 |
| Nomi Health | $5,320 | 0.8× | 3 |
| Oscar | $7,019 | 1.0× | 5 |
| UnitedHealthcare | $8,593 | 1.2× | 3 |
| North Austin Medical Center median $6,450 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,987 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $5,849 | 0.8× | 1 |
| Evry Health | $5,499 | 0.8× | 1 |
| Harbor Health Team | $6,450 | 0.9× | 1 |
| Healthcare Highways (rental network) | $6,162 | 0.9× | 2 |
| MODA Health | $6,746 | 1.0× | 2 |
| Moda | $5,502 | 0.8× | 1 |
| Nomi Health | $5,320 | 0.8× | 3 |
| Oscar | $7,019 | 1.0× | 5 |
| UnitedHealthcare | $8,593 | 1.2× | 3 |
| Scott & White Hospital-Round Rock median $10,599 · local Medicare $7,090 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $10,103 | 1.4× | 2 |
| Cigna | $8,649 | 1.2× | 2 |
| HealthSmart (rental network) | $6,106 | 0.9× | 1 |
| Humana | $11,746 | 1.7× | 1 |
| Injury Management Organization | $10,599 | 1.5× | 1 |
| Mark Cuban | $16,955 | 2.4× | 1 |
| Sedgwick | $10,599 | 1.5× | 1 |
| Baylor Scott & White Medical Center ? Pflugerville median $10,599 · local Medicare $7,090 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $10,103 | 1.4× | 2 |
| Cigna | $8,649 | 1.2× | 2 |
| HealthSmart (rental network) | $6,106 | 0.9× | 1 |
| Humana | $11,746 | 1.7× | 1 |
| Mark Cuban | $16,955 | 2.4× | 1 |
| Sedgwick | $10,599 | 1.5× | 1 |
| Baylor Scott & White Medical Center- Austin median $10,924 · local Medicare $7,090 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $10,103 | 1.4× | 2 |
| Cigna | $8,649 | 1.2× | 2 |
| Humana | $11,746 | 1.7× | 1 |
| Mark Cuban | $16,955 | 2.4× | 1 |
CPT 31297
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| St David's Medical Center median $5,800 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,719 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $4,807 | 0.7× | 1 |
| Harbor Health Team | $5,675 | 0.8× | 1 |
| Healthcare Highways (rental network) | $5,414 | 0.8× | 2 |
| MODA Health | $5,927 | 0.8× | 2 |
| Moda | $4,836 | 0.7× | 1 |
| Nomi Health | $4,370 | 0.6× | 3 |
| Oscar | $5,926 | 0.8× | 5 |
| UnitedHealthcare | $6,035 | 0.9× | 3 |
| St David's South Austin Medical Center median $5,800 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,719 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $4,807 | 0.7× | 1 |
| Harbor Health Team | $5,675 | 0.8× | 1 |
| Healthcare Highways (rental network) | $5,414 | 0.8× | 2 |
| MODA Health | $5,927 | 0.8× | 2 |
| Moda | $4,836 | 0.7× | 1 |
| Nomi Health | $4,370 | 0.6× | 3 |
| Oscar | $5,926 | 0.8× | 5 |
| UnitedHealthcare | $6,035 | 0.9× | 3 |
| Round Rock Medical Center median $5,800 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,719 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $4,807 | 0.7× | 1 |
| Harbor Health Team | $5,675 | 0.8× | 1 |
| Healthcare Highways (rental network) | $5,414 | 0.8× | 2 |
| MODA Health | $5,927 | 0.8× | 2 |
| Moda | $4,836 | 0.7× | 1 |
| Nomi Health | $4,370 | 0.6× | 3 |
| Oscar | $5,926 | 0.8× | 5 |
| UnitedHealthcare | $6,035 | 0.9× | 3 |
| North Austin Medical Center median $5,800 · local Medicare $7,090 · file 2026-09-01 | |||
| Aetna | $5,266 | 0.7× | 4 |
| BCBS TX | $33,719 | 4.8× | 5 |
| Cigna | $11,031 | 1.6× | 5 |
| Curative Administrators | $4,807 | 0.7× | 1 |
| Harbor Health Team | $5,675 | 0.8× | 1 |
| Healthcare Highways (rental network) | $5,414 | 0.8× | 2 |
| MODA Health | $5,927 | 0.8× | 2 |
| Moda | $4,836 | 0.7× | 1 |
| Nomi Health | $4,370 | 0.6× | 3 |
| Oscar | $5,926 | 0.8× | 5 |
| UnitedHealthcare | $6,035 | 0.9× | 3 |
| Scott & White Hospital-Round Rock median $10,599 · local Medicare $7,090 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $10,103 | 1.4× | 2 |
| Cigna | $8,649 | 1.2× | 2 |
| HealthSmart (rental network) | $6,106 | 0.9× | 1 |
| Humana | $11,746 | 1.7× | 1 |
| Injury Management Organization | $10,599 | 1.5× | 1 |
| Mark Cuban | $16,955 | 2.4× | 1 |
| Sedgwick | $10,599 | 1.5× | 1 |
| UnitedHealthcare | $6,555 | 0.9× | 1 |
| Baylor Scott & White Medical Center ? Pflugerville median $10,599 · local Medicare $7,090 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $10,103 | 1.4× | 2 |
| Cigna | $8,649 | 1.2× | 2 |
| HealthSmart (rental network) | $6,106 | 0.9× | 1 |
| Humana | $11,746 | 1.7× | 1 |
| Mark Cuban | $16,955 | 2.4× | 1 |
| Sedgwick | $10,599 | 1.5× | 1 |
| Baylor Scott & White Medical Center- Austin median $10,924 · local Medicare $7,090 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $10,103 | 1.4× | 2 |
| Cigna | $8,649 | 1.2× | 2 |
| Humana | $11,746 | 1.7× | 1 |
| Mark Cuban | $16,955 | 2.4× | 1 |
Questions
How much does balloon sinuplasty cost with commercial insurance in Austin TX?
7 Austin TX hospitals post usable commercial rates for CPT 31295, hospital outpatient. The median across hospitals is $6,450; hospital medians range from $6,450 to $10,924. Your cost depends on your plan's deductible and coinsurance.