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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 |
|---|---|---|---|
| South Shore Hospital median $6,311 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $5,887 | 0.7× | 2 |
| Tufts Health | $6,735 | 0.8× | 5 |
| Beverly Hospital Corporation median $7,500 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,518 | 1.0× | 1 |
| Cigna | $6,481 | 0.8× | 1 |
| Harvard Pilgrim Healthcare | $10,609 | 1.3× | 1 |
| UnitedHealthcare | $5,065 | 0.6× | 1 |
| New England Baptist Hospital median $7,829 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,017 | 0.9× | 2 |
| Cigna | $5,277 | 0.6× | 1 |
| Elevance/Anthem/Empire | $9,231 | 1.1× | 1 |
| Harvard Pilgrim Healthcare | $7,829 | 0.9× | 1 |
| UnitedHealthcare | $7,608 | 0.9× | 1 |
| Winchester Hospital median $8,827 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,253 | 1.0× | 2 |
| Cigna | $5,145 | 0.6× | 1 |
| Harvard Pilgrim Healthcare | $11,304 | 1.3× | 1 |
| UnitedHealthcare | $9,401 | 1.1× | 1 |
| Mount Auburn Hospital median $10,772 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $10,054 | 1.2× | 2 |
| Harvard Pilgrim Healthcare | $11,489 | 1.4× | 1 |
| Anna Jaques Hospital median $10,844 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,900 | 1.1× | 1 |
| UnitedHealthcare | $12,788 | 1.5× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $11,190 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $9,872 | 1.2× | 2 |
| Harvard Pilgrim Healthcare | $12,509 | 1.5× | 2 |
| Beth Israel Deaconess Hospital - Needham median $11,651 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $9,913 | 1.2× | 1 |
| Harvard Pilgrim Healthcare | $13,389 | 1.6× | 1 |
| Lahey Hospital & Medical Center, Burlington median $12,540 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $11,367 | 1.3× | 1 |
| Harvard Pilgrim Healthcare | $13,713 | 1.6× | 1 |
| Beth Israel Deaconess Medical Center median $12,933 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $12,338 | 1.5× | 2 |
| Harvard Pilgrim Healthcare | $13,528 | 1.6× | 1 |
CPT 31296
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| South Shore Hospital median $6,311 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $5,887 | 0.7× | 2 |
| Tufts Health | $6,735 | 0.8× | 5 |
| Beverly Hospital Corporation median $7,500 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,518 | 1.0× | 1 |
| Cigna | $6,481 | 0.8× | 1 |
| Harvard Pilgrim Healthcare | $10,609 | 1.3× | 1 |
| UnitedHealthcare | $5,065 | 0.6× | 1 |
| New England Baptist Hospital median $7,829 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,017 | 0.9× | 2 |
| Cigna | $5,277 | 0.6× | 1 |
| Elevance/Anthem/Empire | $9,231 | 1.1× | 1 |
| Harvard Pilgrim Healthcare | $7,829 | 0.9× | 1 |
| UnitedHealthcare | $7,608 | 0.9× | 1 |
| Winchester Hospital median $8,827 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,253 | 1.0× | 2 |
| Cigna | $5,145 | 0.6× | 1 |
| Harvard Pilgrim Healthcare | $11,304 | 1.3× | 1 |
| UnitedHealthcare | $9,401 | 1.1× | 1 |
| Mount Auburn Hospital median $10,772 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $10,054 | 1.2× | 2 |
| Harvard Pilgrim Healthcare | $11,489 | 1.4× | 1 |
| Anna Jaques Hospital median $10,844 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,900 | 1.1× | 1 |
| UnitedHealthcare | $12,788 | 1.5× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $11,190 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $9,872 | 1.2× | 2 |
| Harvard Pilgrim Healthcare | $12,509 | 1.5× | 2 |
| Beth Israel Deaconess Hospital - Needham median $11,651 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $9,913 | 1.2× | 1 |
| Harvard Pilgrim Healthcare | $13,389 | 1.6× | 1 |
| Lahey Hospital & Medical Center, Burlington median $12,540 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $11,367 | 1.3× | 1 |
| Harvard Pilgrim Healthcare | $13,713 | 1.6× | 1 |
| Beth Israel Deaconess Medical Center median $12,933 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $12,338 | 1.5× | 2 |
| Harvard Pilgrim Healthcare | $13,528 | 1.6× | 1 |
CPT 31297
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| South Shore Hospital median $6,311 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $5,887 | 0.7× | 2 |
| Tufts Health | $6,735 | 0.8× | 5 |
| New England Baptist Hospital median $7,829 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,017 | 0.9× | 2 |
| Cigna | $5,277 | 0.6× | 1 |
| Elevance/Anthem/Empire | $9,231 | 1.1× | 1 |
| Harvard Pilgrim Healthcare | $7,829 | 0.9× | 1 |
| UnitedHealthcare | $4,846 | 0.6× | 1 |
| Beverly Hospital Corporation median $8,518 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,518 | 1.0× | 1 |
| Cigna | $6,481 | 0.8× | 1 |
| Harvard Pilgrim Healthcare | $10,609 | 1.3× | 1 |
| Winchester Hospital median $8,646 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,253 | 1.0× | 2 |
| Cigna | $5,145 | 0.6× | 1 |
| Harvard Pilgrim Healthcare | $11,304 | 1.3× | 1 |
| UnitedHealthcare | $9,039 | 1.1× | 1 |
| Mount Auburn Hospital median $10,772 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $10,054 | 1.2× | 2 |
| Harvard Pilgrim Healthcare | $11,489 | 1.4× | 1 |
| Anna Jaques Hospital median $10,844 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $8,900 | 1.1× | 1 |
| UnitedHealthcare | $12,788 | 1.5× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $11,190 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $9,872 | 1.2× | 2 |
| Harvard Pilgrim Healthcare | $12,509 | 1.5× | 2 |
| Beth Israel Deaconess Hospital - Needham median $11,651 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $9,913 | 1.2× | 1 |
| Harvard Pilgrim Healthcare | $13,389 | 1.6× | 1 |
| Lahey Hospital & Medical Center, Burlington median $12,540 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $11,367 | 1.3× | 1 |
| Harvard Pilgrim Healthcare | $13,713 | 1.6× | 1 |
| Beth Israel Deaconess Medical Center median $12,933 · local Medicare $8,458 · file 2026-04-01 | |||
| BCBS Massachusetts | $12,338 | 1.5× | 2 |
| Harvard Pilgrim Healthcare | $13,528 | 1.6× | 1 |
Questions
How much does balloon sinuplasty cost with commercial insurance in Boston MA?
10 Boston MA hospitals post usable commercial rates for CPT 31295, hospital outpatient. The median across hospitals is $10,808; hospital medians range from $6,311 to $12,933. Your cost depends on your plan's deductible and coinsurance.