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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 |
|---|---|---|---|
| Riddle Memorial Hospital median $6,259 · local Medicare $7,251 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $6,866 | 0.9× | 4 |
| Paoli Hospital median $6,630 · local Medicare $6,874 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $7,609 | 1.1× | 4 |
| Bryn Mawr Hospital median $6,738 · local Medicare $7,251 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $7,823 | 1.1× | 4 |
| Lankenau Medical Center median $6,838 · local Medicare $6,874 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $8,025 | 1.2× | 4 |
| Jefferson Stratford Hospital median $7,409 · local Medicare $7,940 · file 2026-09-15 | |||
| Aetna | $7,409 | 0.9× | 1 |
| Cigna | $13,606 | 1.7× | 2 |
| UnitedHealthcare | $6,648 | 0.8× | 1 |
| Jefferson Abington Hospital median $8,014 · local Medicare $6,874 · file 2026-09-15 | |||
| Aetna | $4,096 | 0.6× | 3 |
| Cigna | $12,311 | 1.8× | 2 |
| Independence Blue Cross | $8,014 | 1.2× | 3 |
| UPMC Commercial | $14,773 | 2.1× | 1 |
| UnitedHealthcare | $3,938 | 0.6× | 1 |
| Jefferson Einstein Montgomery Hospital median $10,898 · local Medicare $6,874 · file 2026-09-15 | |||
| Aetna | $4,734 | 0.7× | 1 |
| Cigna | $12,200 | 1.8× | 2 |
| Geisinger | $27,928 | 4.1× | 1 |
| Highmark BCBS | $17,751 | 2.6× | 1 |
| Independence Blue Cross | $9,595 | 1.4× | 4 |
| UnitedHealthcare | $3,805 | 0.6× | 1 |
| Jefferson Health-Northeast median $11,040 · local Medicare $7,251 · file 2026-09-15 | |||
| Aetna | $4,734 | 0.7× | 1 |
| Cigna | $12,200 | 1.7× | 2 |
| Geisinger | $28,761 | 4.0× | 1 |
| Highmark BCBS | $18,280 | 2.5× | 1 |
| Independence Blue Cross | $9,881 | 1.4× | 4 |
| UnitedHealthcare | $4,789 | 0.7× | 1 |
| Inspira Medical Center Mullica Hill median $11,208 · local Medicare $7,940 · file 2026-03-24 | |||
| Aetna | $11,208 | 1.4× | 1 |
| Thomas Jefferson University Hospital median $13,220 · local Medicare $7,251 · file 2026-09-15 | |||
| Aetna | $9,172 | 1.3× | 2 |
| Cigna | $17,268 | 2.4× | 2 |
| Independence Blue Cross | $8,805 | 1.2× | 2 |
| UPMC Commercial | $20,271 | 2.8× | 1 |
CPT 31296
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Riddle Memorial Hospital median $6,259 · local Medicare $7,251 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $6,866 | 0.9× | 4 |
| Paoli Hospital median $6,630 · local Medicare $6,874 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $7,609 | 1.1× | 4 |
| Bryn Mawr Hospital median $6,738 · local Medicare $7,251 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $7,823 | 1.1× | 4 |
| Lankenau Medical Center median $6,838 · local Medicare $6,874 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $8,025 | 1.2× | 4 |
| Jefferson Stratford Hospital median $7,409 · local Medicare $7,940 · file 2026-09-15 | |||
| Aetna | $7,409 | 0.9× | 1 |
| Cigna | $13,606 | 1.7× | 2 |
| UnitedHealthcare | $6,648 | 0.8× | 1 |
| Jefferson Abington Hospital median $8,014 · local Medicare $6,874 · file 2026-09-15 | |||
| Aetna | $4,096 | 0.6× | 3 |
| Cigna | $12,311 | 1.8× | 2 |
| Independence Blue Cross | $8,014 | 1.2× | 3 |
| UPMC Commercial | $14,773 | 2.1× | 1 |
| UnitedHealthcare | $3,938 | 0.6× | 1 |
| Jefferson Einstein Montgomery Hospital median $10,898 · local Medicare $6,874 · file 2026-09-15 | |||
| Aetna | $4,734 | 0.7× | 1 |
| Cigna | $12,200 | 1.8× | 2 |
| Geisinger | $27,928 | 4.1× | 1 |
| Highmark BCBS | $17,751 | 2.6× | 1 |
| Independence Blue Cross | $9,595 | 1.4× | 4 |
| UnitedHealthcare | $3,805 | 0.6× | 1 |
| Jefferson Health-Northeast median $11,040 · local Medicare $7,251 · file 2026-09-15 | |||
| Aetna | $4,734 | 0.7× | 1 |
| Cigna | $12,200 | 1.7× | 2 |
| Geisinger | $28,761 | 4.0× | 1 |
| Highmark BCBS | $18,280 | 2.5× | 1 |
| Independence Blue Cross | $9,881 | 1.4× | 4 |
| UnitedHealthcare | $4,789 | 0.7× | 1 |
| Inspira Medical Center Mullica Hill median $11,208 · local Medicare $7,940 · file 2026-03-24 | |||
| Aetna | $11,208 | 1.4× | 1 |
| Thomas Jefferson University Hospital median $13,220 · local Medicare $7,251 · file 2026-09-15 | |||
| Aetna | $9,172 | 1.3× | 2 |
| Cigna | $17,268 | 2.4× | 2 |
| Independence Blue Cross | $8,805 | 1.2× | 2 |
| UPMC Commercial | $20,271 | 2.8× | 1 |
CPT 31297
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Riddle Memorial Hospital median $6,259 · local Medicare $7,251 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $6,866 | 0.9× | 4 |
| Paoli Hospital median $6,630 · local Medicare $6,874 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $7,609 | 1.1× | 4 |
| Bryn Mawr Hospital median $6,738 · local Medicare $7,251 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $7,823 | 1.1× | 4 |
| Lankenau Medical Center median $6,838 · local Medicare $6,874 · file 2026-04-01 | |||
| Aetna | $5,652 | 0.8× | 3 |
| Independence Blue Cross | $8,025 | 1.2× | 4 |
| Jefferson Stratford Hospital median $7,409 · local Medicare $7,940 · file 2026-09-15 | |||
| Aetna | $7,409 | 0.9× | 1 |
| Cigna | $13,606 | 1.7× | 2 |
| UnitedHealthcare | $6,648 | 0.8× | 1 |
| Temple University Hospital median $10,070 · local Medicare $7,251 · file 2026-04-13 | |||
| Aetna | $3,748 | 0.5× | 3 |
| Cigna | $9,785 | 1.3× | 1 |
| Geisinger | $10,355 | 1.4× | 1 |
| Highmark BCBS | $23,635 | 3.3× | 1 |
| Independence Blue Cross | $10,560 | 1.5× | 3 |
| Oscar | $11,127 | 1.5× | 1 |
| Prime Health Services (rental network) | $11,808 | 1.6× | 1 |
| UnitedHealthcare | $6,893 | 1.0× | 2 |
| WTC Health Program | $9,272 | 1.3× | 1 |
| Jefferson Abington Hospital median $10,162 · local Medicare $6,874 · file 2026-09-15 | |||
| Aetna | $4,096 | 0.6× | 3 |
| Cigna | $12,311 | 1.8× | 2 |
| Independence Blue Cross | $8,014 | 1.2× | 3 |
| UPMC Commercial | $14,773 | 2.1× | 1 |
| Jefferson Health-Northeast median $11,040 · local Medicare $7,251 · file 2026-09-15 | |||
| Aetna | $4,734 | 0.7× | 1 |
| Cigna | $12,200 | 1.7× | 2 |
| Geisinger | $28,761 | 4.0× | 1 |
| Highmark BCBS | $18,280 | 2.5× | 1 |
| Independence Blue Cross | $9,881 | 1.4× | 4 |
| UnitedHealthcare | $4,789 | 0.7× | 1 |
| Inspira Medical Center Mullica Hill median $11,208 · local Medicare $7,940 · file 2026-03-24 | |||
| Aetna | $11,208 | 1.4× | 1 |
| Jefferson Einstein Montgomery Hospital median $12,200 · local Medicare $6,874 · file 2026-09-15 | |||
| Aetna | $4,734 | 0.7× | 1 |
| Cigna | $12,200 | 1.8× | 2 |
| Geisinger | $27,928 | 4.1× | 1 |
| Highmark BCBS | $17,751 | 2.6× | 1 |
| Independence Blue Cross | $9,595 | 1.4× | 4 |
| Thomas Jefferson University Hospital median $13,220 · local Medicare $7,251 · file 2026-09-15 | |||
| Aetna | $9,172 | 1.3× | 2 |
| Cigna | $17,268 | 2.4× | 2 |
| Independence Blue Cross | $8,805 | 1.2× | 2 |
| UPMC Commercial | $20,271 | 2.8× | 1 |
Questions
How much does balloon sinuplasty cost with commercial insurance in Philadelphia PA?
10 Philadelphia PA hospitals post usable commercial rates for CPT 31295, hospital outpatient. The median across hospitals is $7,712; hospital medians range from $6,259 to $13,220. Your cost depends on your plan's deductible and coinsurance.