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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 |
|---|---|---|---|
| George Washington Univ Hospital median $6,909 · local Medicare $8,337 · file 2026-09-01 | |||
| Aetna | $4,169 | 0.5× | 1 |
| Cigna | $8,882 | 1.1× | 2 |
| Elevance/Anthem/Empire | $6,312 | 0.8× | 2 |
| Mdipa | $6,909 | 0.8× | 1 |
| UnitedHealthcare | $17,094 | 2.1× | 2 |
| Spotsylvania Regional Medical Center median $7,907 · local Medicare $7,302 · file 2026-09-01 | |||
| Bright Health | $3,993 | 0.5× | 1 |
| Cigna | $11,601 | 1.6× | 2 |
| Elevance/Anthem/Empire | $8,400 | 1.2× | 4 |
| UnitedHealthcare | $7,414 | 1.0× | 1 |
| Inova Alexandria Hospital median $8,741 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $9,927 | 1.4× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,352 | 2.5× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $7,397 | 1.0× | 2 |
| UnitedHealthcare | $8,741 | 1.2× | 2 |
| Inova Loudoun Hospital median $8,741 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $9,927 | 1.4× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,640 | 2.6× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $7,397 | 1.0× | 2 |
| UnitedHealthcare | $8,741 | 1.2× | 2 |
| Inova Fair Oaks Hospital median $8,741 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $9,927 | 1.4× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,722 | 2.6× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $7,397 | 1.0× | 2 |
| UnitedHealthcare | $8,741 | 1.2× | 2 |
| Inova Mount Vernon Hospital median $8,741 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $9,927 | 1.4× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,512 | 2.5× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $7,397 | 1.0× | 2 |
| UnitedHealthcare | $8,741 | 1.2× | 2 |
| Inova Fairfax Hospital median $8,880 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $9,927 | 1.4× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,925 | 2.6× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $7,397 | 1.0× | 2 |
| UnitedHealthcare | $8,880 | 1.2× | 2 |
| Reston Hospital Center median $9,533 · local Medicare $7,302 · file 2026-09-01 | |||
| Bright Health | $5,995 | 0.8× | 1 |
| CareFirst BCBS | $7,126 | 1.0× | 2 |
| Cigna | $11,601 | 1.6× | 2 |
| Elevance/Anthem/Empire | $10,354 | 1.4× | 4 |
| UnitedHealthcare | $9,533 | 1.3× | 1 |
| Stonesprings Hospital Center median $9,533 · local Medicare $7,302 · file 2026-09-01 | |||
| Bright Health | $5,995 | 0.8× | 1 |
| CareFirst BCBS | $7,126 | 1.0× | 2 |
| Cigna | $11,601 | 1.6× | 2 |
| Elevance/Anthem/Empire | $10,392 | 1.4× | 4 |
| UnitedHealthcare | $9,533 | 1.3× | 1 |
CPT 31296
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| George Washington Univ Hospital median $7,890 · local Medicare $8,337 · file 2026-09-01 | |||
| Aetna | $4,169 | 0.5× | 1 |
| Cigna | $8,882 | 1.1× | 2 |
| Elevance/Anthem/Empire | $7,890 | 0.9× | 2 |
| Mdipa | $6,909 | 0.8× | 1 |
| UnitedHealthcare | $17,094 | 2.1× | 2 |
| Spotsylvania Regional Medical Center median $7,907 · local Medicare $7,302 · file 2026-09-01 | |||
| Bright Health | $3,993 | 0.5× | 1 |
| Cigna | $11,601 | 1.6× | 2 |
| Elevance/Anthem/Empire | $8,400 | 1.2× | 4 |
| UnitedHealthcare | $7,414 | 1.0× | 1 |
| Inova Alexandria Hospital median $8,741 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $11,913 | 1.6× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,352 | 2.5× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $7,397 | 1.0× | 2 |
| UnitedHealthcare | $8,741 | 1.2× | 2 |
| Inova Loudoun Hospital median $8,741 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $11,913 | 1.6× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,640 | 2.6× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $7,397 | 1.0× | 2 |
| UnitedHealthcare | $8,741 | 1.2× | 2 |
| Inova Fair Oaks Hospital median $8,741 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $11,913 | 1.6× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,722 | 2.6× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $7,397 | 1.0× | 2 |
| UnitedHealthcare | $8,741 | 1.2× | 2 |
| Inova Mount Vernon Hospital median $8,741 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $11,913 | 1.6× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,512 | 2.5× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $7,397 | 1.0× | 2 |
| UnitedHealthcare | $8,741 | 1.2× | 2 |
| Inova Fairfax Hospital median $8,880 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $11,913 | 1.6× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,925 | 2.6× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $7,397 | 1.0× | 2 |
| UnitedHealthcare | $8,880 | 1.2× | 2 |
| Reston Hospital Center median $9,889 · local Medicare $7,302 · file 2026-09-01 | |||
| Bright Health | $5,995 | 0.8× | 1 |
| CareFirst BCBS | $9,889 | 1.4× | 2 |
| Cigna | $11,601 | 1.6× | 2 |
| Elevance/Anthem/Empire | $10,354 | 1.4× | 4 |
| UnitedHealthcare | $9,533 | 1.3× | 1 |
| Stonesprings Hospital Center median $9,889 · local Medicare $7,302 · file 2026-09-01 | |||
| Bright Health | $5,995 | 0.8× | 1 |
| CareFirst BCBS | $9,889 | 1.4× | 2 |
| Cigna | $11,601 | 1.6× | 2 |
| Elevance/Anthem/Empire | $10,392 | 1.4× | 4 |
| UnitedHealthcare | $9,533 | 1.3× | 1 |
CPT 31297
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Inova Alexandria Hospital median $6,158 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $11,913 | 1.6× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,352 | 2.5× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $5,073 | 0.7× | 2 |
| UnitedHealthcare | $6,158 | 0.8× | 2 |
| Inova Loudoun Hospital median $6,158 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $11,913 | 1.6× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,640 | 2.6× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $5,073 | 0.7× | 2 |
| UnitedHealthcare | $6,158 | 0.8× | 2 |
| Inova Fairfax Hospital median $6,158 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $11,913 | 1.6× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,925 | 2.6× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $5,073 | 0.7× | 2 |
| UnitedHealthcare | $6,158 | 0.8× | 2 |
| Inova Fair Oaks Hospital median $6,158 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $11,913 | 1.6× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,722 | 2.6× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $5,073 | 0.7× | 2 |
| UnitedHealthcare | $6,158 | 0.8× | 2 |
| Inova Mount Vernon Hospital median $6,158 · local Medicare $7,302 · file 2026-04-01 | |||
| Aetna | $5,955 | 0.8× | 3 |
| CareFirst BCBS | $11,913 | 1.6× | 2 |
| Cigna | $11,070 | 1.5× | 2 |
| Elevance/Anthem/Empire | $18,512 | 2.5× | 2 |
| Innovation | $4,227 | 0.6× | 1 |
| Sentara Health | $5,073 | 0.7× | 2 |
| UnitedHealthcare | $6,158 | 0.8× | 2 |
| Spotsylvania Regional Medical Center median $6,949 · local Medicare $7,302 · file 2026-09-01 | |||
| Bright Health | $3,993 | 0.5× | 1 |
| Cigna | $11,601 | 1.6× | 2 |
| Elevance/Anthem/Empire | $8,400 | 1.2× | 4 |
| UnitedHealthcare | $5,498 | 0.8× | 1 |
| George Washington Univ Hospital median $7,890 · local Medicare $8,337 · file 2026-09-01 | |||
| Aetna | $4,169 | 0.5× | 1 |
| Cigna | $8,882 | 1.1× | 2 |
| Elevance/Anthem/Empire | $7,890 | 0.9× | 2 |
| Mdipa | $5,051 | 0.6× | 1 |
| UnitedHealthcare | $12,450 | 1.5× | 2 |
| Reston Hospital Center median $9,889 · local Medicare $7,302 · file 2026-09-01 | |||
| Bright Health | $5,995 | 0.8× | 1 |
| CareFirst BCBS | $9,889 | 1.4× | 2 |
| Cigna | $11,601 | 1.6× | 2 |
| Elevance/Anthem/Empire | $10,354 | 1.4× | 4 |
| UnitedHealthcare | $7,357 | 1.0× | 1 |
| Stonesprings Hospital Center median $9,889 · local Medicare $7,302 · file 2026-09-01 | |||
| Bright Health | $5,995 | 0.8× | 1 |
| CareFirst BCBS | $9,889 | 1.4× | 2 |
| Cigna | $11,601 | 1.6× | 2 |
| Elevance/Anthem/Empire | $10,392 | 1.4× | 4 |
| UnitedHealthcare | $7,357 | 1.0× | 1 |
Questions
How much does balloon sinuplasty cost with commercial insurance in Washington DC?
9 Washington DC hospitals post usable commercial rates for CPT 31295, hospital outpatient. The median across hospitals is $8,741; hospital medians range from $6,909 to $9,533. Your cost depends on your plan's deductible and coinsurance.