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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 |
|---|---|---|---|
| Stanford Health Care Tri-Valley median $7,545 · local Medicare $9,966 · file 2026-04-01 | |||
| Aetna | $6,322 | 0.6× | 2 |
| Blue Shield of California | $5,542 | 0.6× | 2 |
| Cigna | $9,226 | 0.9× | 1 |
| UnitedHealthcare | $8,768 | 0.9× | 1 |
| St Mary's Medical Center median $10,212 · local Medicare $10,201 · file 2026-04-01 | |||
| Aetna | $8,741 | 0.9× | 1 |
| Blue Shield of California | $5,488 | 0.5× | 1 |
| Elevance/Anthem/Empire | $13,912 | 1.4× | 2 |
| Healthnet | $18,649 | 1.8× | 1 |
| Heritage Provider Network | $10,212 | 1.0× | 2 |
| Kaiser Permanente | $23,019 | 2.3× | 1 |
| UnitedHealthcare | $7,824 | 0.8× | 2 |
| Good Samaritan Hospital median $10,299 · local Medicare $10,381 · file 2026-09-01 | |||
| Aetna | $7,000 | 0.7× | 3 |
| Blue Shield of California | $7,755 | 0.7× | 2 |
| Cigna | $14,435 | 1.4× | 4 |
| Elevance/Anthem/Empire | $10,217 | 1.0× | 2 |
| MedCare Partners | $10,381 | 1.0× | 1 |
| UnitedHealthcare | $15,475 | 1.5× | 1 |
| Stanford Health Care median $22,299 · local Medicare $10,381 · file 2026-04-01 | |||
| Aetna | $26,573 | 2.6× | 1 |
| Blue Shield of California | $18,025 | 1.7× | 2 |
| Elevance/Anthem/Empire | $13,697 | 1.3× | 1 |
| UnitedHealthcare | $28,573 | 2.8× | 1 |
CPT 31296
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Stanford Health Care Tri-Valley median $7,545 · local Medicare $9,966 · file 2026-04-01 | |||
| Aetna | $6,322 | 0.6× | 2 |
| Blue Shield of California | $5,542 | 0.6× | 2 |
| Cigna | $9,226 | 0.9× | 1 |
| UnitedHealthcare | $8,768 | 0.9× | 1 |
| St Mary's Medical Center median $10,212 · local Medicare $10,201 · file 2026-04-01 | |||
| Aetna | $8,741 | 0.9× | 1 |
| Blue Shield of California | $5,488 | 0.5× | 1 |
| Elevance/Anthem/Empire | $13,912 | 1.4× | 2 |
| Healthnet | $18,649 | 1.8× | 1 |
| Heritage Provider Network | $10,212 | 1.0× | 2 |
| Kaiser Permanente | $23,019 | 2.3× | 1 |
| UnitedHealthcare | $7,824 | 0.8× | 2 |
| Good Samaritan Hospital median $10,299 · local Medicare $10,381 · file 2026-09-01 | |||
| Aetna | $7,000 | 0.7× | 3 |
| Blue Shield of California | $7,755 | 0.7× | 2 |
| Cigna | $14,435 | 1.4× | 4 |
| Elevance/Anthem/Empire | $10,217 | 1.0× | 2 |
| MedCare Partners | $10,381 | 1.0× | 1 |
| UnitedHealthcare | $15,475 | 1.5× | 1 |
| Stanford Health Care median $22,299 · local Medicare $10,381 · file 2026-04-01 | |||
| Aetna | $26,573 | 2.6× | 1 |
| Blue Shield of California | $18,025 | 1.7× | 2 |
| Elevance/Anthem/Empire | $13,697 | 1.3× | 1 |
| UnitedHealthcare | $28,573 | 2.8× | 1 |
CPT 31297
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Stanford Health Care Tri-Valley median $6,682 · local Medicare $9,966 · file 2026-04-01 | |||
| Aetna | $6,322 | 0.6× | 2 |
| Blue Shield of California | $5,542 | 0.6× | 2 |
| Cigna | $9,226 | 0.9× | 1 |
| UnitedHealthcare | $7,042 | 0.7× | 1 |
| Good Samaritan Hospital median $9,816 · local Medicare $10,381 · file 2026-09-01 | |||
| Aetna | $7,000 | 0.7× | 3 |
| Blue Shield of California | $7,755 | 0.7× | 2 |
| Cigna | $14,435 | 1.4× | 4 |
| Elevance/Anthem/Empire | $10,217 | 1.0× | 2 |
| MedCare Partners | $10,381 | 1.0× | 1 |
| UnitedHealthcare | $9,414 | 0.9× | 1 |
| St Mary's Medical Center median $10,212 · local Medicare $10,201 · file 2026-04-01 | |||
| Aetna | $8,741 | 0.9× | 1 |
| Blue Shield of California | $5,488 | 0.5× | 1 |
| Elevance/Anthem/Empire | $13,912 | 1.4× | 2 |
| Healthnet | $18,649 | 1.8× | 1 |
| Heritage Provider Network | $10,212 | 1.0× | 2 |
| Kaiser Permanente | $23,019 | 2.3× | 1 |
| UnitedHealthcare | $5,123 | 0.5× | 1 |
| Stanford Health Care median $20,033 · local Medicare $10,381 · file 2026-04-01 | |||
| Aetna | $26,573 | 2.6× | 1 |
| Blue Shield of California | $18,025 | 1.7× | 2 |
| Elevance/Anthem/Empire | $13,697 | 1.3× | 1 |
| UnitedHealthcare | $22,041 | 2.1× | 1 |
Questions
How much does balloon sinuplasty cost with commercial insurance in San Francisco Bay Area CA?
4 San Francisco Bay Area CA hospitals post usable commercial rates for CPT 31295, hospital outpatient. The median across hospitals is $10,256; hospital medians range from $7,545 to $22,299. Your cost depends on your plan's deductible and coinsurance.