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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 |
|---|---|---|---|
| Maimonides Medical Center median $6,307 · local Medicare $8,810 · file 2026-04-01 | |||
| 1199SEIU | $4,463 | 0.5× | 1 |
| Aetna | $5,457 | 0.6× | 3 |
| Centivo | $6,360 | 0.7× | 1 |
| Elevance/Anthem/Empire | $6,997 | 0.8× | 2 |
| EmblemHealth | $26,782 | 3.0× | 1 |
| Magnacare (rental network) | $7,738 | 0.9× | 1 |
| UnitedHealthcare | $6,254 | 0.7× | 7 |
| Montefiore Medical Center median $9,140 · local Medicare $8,810 · file 2026-04-01 | |||
| 1199SEIU | $6,972 | 0.8× | 1 |
| Aetna | $7,036 | 0.8× | 4 |
| Christian Brothers | $12,920 | 1.5× | 1 |
| Cigna | $16,203 | 1.8× | 2 |
| Elevance/Anthem/Empire | $9,140 | 1.0× | 13 |
| EmblemHealth | $9,959 | 1.1× | 9 |
| Healthfirst | $7,488 | 0.8× | 1 |
| Magnacare (rental network) | $8,196 | 0.9× | 1 |
| MultiPlan/PHCS (rental network) | $4,960 | 0.6× | 1 |
| Nat Assoc Letter Carriers | $12,920 | 1.5× | 1 |
| Nippon Life Insurance | $12,920 | 1.5× | 1 |
| Northwell | $5,835 | 0.7× | 2 |
| Oscar | $6,602 | 0.7× | 1 |
| Point Comfort | $8,810 | 1.0× | 1 |
| UnitedHealthcare | $15,108 | 1.7× | 5 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $9,882 · local Medicare $8,810 · file 2026-01-01 | |||
| 1199SEIU | $9,740 | 1.1× | 3 |
| Aetna | $10,024 | 1.1× | 24 |
| BCBS (other) | $13,586 | 1.5× | 16 |
| Centerlight | $8,355 | 0.9× | 2 |
| Cigna | $5,479 | 0.6× | 22 |
| Elevance/Anthem/Empire | $13,586 | 1.5× | 32 |
| EmblemHealth | $8,427 | 1.0× | 69 |
| Magnacare (rental network) | $25,798 | 2.9× | 10 |
| UnitedHealthcare | $10,978 | 1.2× | 24 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $10,704 · local Medicare $8,810 · file 2026-09-05 | |||
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
| Jacobi Medical Center median $10,704 · local Medicare $8,810 · file 2026-09-05 | |||
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
| Elmhurst Hospital Center median $10,704 · local Medicare $8,810 · file 2026-09-05 | |||
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
| South Brooklyn Health median $10,704 · local Medicare $8,810 · file 2026-09-05 | |||
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
CPT 31296
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Maimonides Medical Center median $6,307 · local Medicare $8,810 · file 2026-04-01 | |||
| 1199SEIU | $4,463 | 0.5× | 1 |
| Aetna | $5,457 | 0.6× | 3 |
| Centivo | $6,360 | 0.7× | 1 |
| Elevance/Anthem/Empire | $6,997 | 0.8× | 2 |
| EmblemHealth | $26,782 | 3.0× | 1 |
| Magnacare (rental network) | $7,738 | 0.9× | 1 |
| UnitedHealthcare | $6,254 | 0.7× | 7 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $8,192 · local Medicare $8,810 · file 2026-09-05 | |||
| 1199SEIU | $4,783 | 0.5× | 1 |
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
| Jacobi Medical Center median $8,192 · local Medicare $8,810 · file 2026-09-05 | |||
| 1199SEIU | $4,783 | 0.5× | 1 |
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
| Elmhurst Hospital Center median $8,192 · local Medicare $8,810 · file 2026-09-05 | |||
| 1199SEIU | $4,783 | 0.5× | 1 |
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
| South Brooklyn Health median $8,192 · local Medicare $8,810 · file 2026-09-05 | |||
| 1199SEIU | $4,783 | 0.5× | 1 |
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
| Montefiore Medical Center median $8,975 · local Medicare $8,810 · file 2026-04-01 | |||
| 1199SEIU | $6,176 | 0.7× | 3 |
| Aetna | $7,132 | 0.8× | 4 |
| Amida Care | $5,739 | 0.7× | 1 |
| Christian Brothers | $12,920 | 1.5× | 1 |
| Cigna | $16,203 | 1.8× | 2 |
| Elevance/Anthem/Empire | $9,140 | 1.0× | 13 |
| EmblemHealth | $9,959 | 1.1× | 9 |
| Healthfirst | $7,488 | 0.8× | 1 |
| Magnacare (rental network) | $8,309 | 0.9× | 1 |
| MultiPlan/PHCS (rental network) | $5,043 | 0.6× | 1 |
| Nat Assoc Letter Carriers | $12,920 | 1.5× | 1 |
| Nippon Life Insurance | $12,920 | 1.5× | 1 |
| Northwell | $5,934 | 0.7× | 2 |
| Oscar | $6,602 | 0.7× | 1 |
| Point Comfort | $8,810 | 1.0× | 1 |
| UnitedHealthcare | $15,108 | 1.7× | 5 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $9,882 · local Medicare $8,810 · file 2026-01-01 | |||
| 1199SEIU | $9,740 | 1.1× | 3 |
| Aetna | $10,024 | 1.1× | 24 |
| BCBS (other) | $13,586 | 1.5× | 16 |
| Centerlight | $8,355 | 0.9× | 2 |
| Cigna | $5,479 | 0.6× | 22 |
| Elevance/Anthem/Empire | $13,586 | 1.5× | 32 |
| EmblemHealth | $8,427 | 1.0× | 69 |
| Magnacare (rental network) | $25,798 | 2.9× | 10 |
| UnitedHealthcare | $10,978 | 1.2× | 24 |
CPT 31297
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Maimonides Medical Center median $5,908 · local Medicare $8,810 · file 2026-04-01 | |||
| 1199SEIU | $4,463 | 0.5× | 1 |
| Aetna | $5,457 | 0.6× | 3 |
| Centivo | $6,360 | 0.7× | 1 |
| Elevance/Anthem/Empire | $6,997 | 0.8× | 2 |
| EmblemHealth | $26,782 | 3.0× | 1 |
| Magnacare (rental network) | $6,360 | 0.7× | 1 |
| UnitedHealthcare | $5,036 | 0.6× | 7 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $8,192 · local Medicare $8,810 · file 2026-09-05 | |||
| 1199SEIU | $4,783 | 0.5× | 1 |
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
| Jacobi Medical Center median $8,192 · local Medicare $8,810 · file 2026-09-05 | |||
| 1199SEIU | $4,783 | 0.5× | 1 |
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
| Elmhurst Hospital Center median $8,192 · local Medicare $8,810 · file 2026-09-05 | |||
| 1199SEIU | $4,783 | 0.5× | 1 |
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
| South Brooklyn Health median $8,192 · local Medicare $8,810 · file 2026-09-05 | |||
| 1199SEIU | $4,783 | 0.5× | 1 |
| Magnacare (rental network) | $9,830 | 1.1× | 4 |
| Oscar | $13,215 | 1.5× | 1 |
| Vaccn | $8,192 | 0.9× | 1 |
| Montefiore Medical Center median $8,975 · local Medicare $8,810 · file 2026-04-01 | |||
| 1199SEIU | $6,176 | 0.7× | 3 |
| Aetna | $6,975 | 0.8× | 4 |
| Amida Care | $5,691 | 0.6× | 1 |
| Christian Brothers | $12,920 | 1.5× | 1 |
| Cigna | $16,203 | 1.8× | 2 |
| Elevance/Anthem/Empire | $9,140 | 1.0× | 13 |
| EmblemHealth | $9,959 | 1.1× | 9 |
| Healthfirst | $7,488 | 0.8× | 1 |
| Magnacare (rental network) | $8,160 | 0.9× | 1 |
| MultiPlan/PHCS (rental network) | $4,916 | 0.6× | 1 |
| Nat Assoc Letter Carriers | $12,920 | 1.5× | 1 |
| Nippon Life Insurance | $12,920 | 1.5× | 1 |
| Northwell | $5,783 | 0.7× | 2 |
| Oscar | $6,602 | 0.7× | 1 |
| Point Comfort | $8,810 | 1.0× | 1 |
| UnitedHealthcare | $13,220 | 1.5× | 5 |
Questions
How much does balloon sinuplasty cost with commercial insurance in New York City?
7 New York City hospitals post usable commercial rates for CPT 31295, hospital outpatient. The median across hospitals is $10,704; hospital medians range from $6,307 to $10,704. Your cost depends on your plan's deductible and coinsurance.