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Balloon sinuplasty in Wisconsin: what insurers pay

Posted commercial rates at 32 Wisconsin hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 31295

HospitalMedian across insurers× MedicareInsurersFile date
Watertown Regional Medical Center Watertown$4,9590.7×12026-04-01
Ascension Ne Wisconsin - St Elizabeth Campus Appleton$6,8641.0×32026-01-01
Ascension Calumet Hospital Chilton$6,8641.0×32026-01-01
Unitypoint Health - Meriter Madison$6,9761.0×12026-01-28
Ascension St Francis Hospital Milwaukee$7,4541.1×12026-01-01
Ascension Se Wisconsin Hospital - St Joseph Campus Milwaukee$7,4541.1×12026-01-01
Ascension Columbia St Mary'S Hospital Milwaukee Ca Milwaukee$7,5041.1×32026-01-01
Orthopaedic Hospital Of Wisconsin Glendale$9,1391.3×32026-01-01
Froedtert Holy Family Memorial Hospital Manitowoc$9,5741.4×32025-12-31
Froedtert Menomonee Falls Hospital Menomonee Falls$10,4821.5×42025-12-31
Aurora Medical Ctr Manitowoc County Two Rivers$10,4921.5×142025-11-21
Aurora Medical Center Sheboygan County Sheboygan$10,4921.5×142025-11-21
Aurora Medical Ctr Washington County Hartford$10,4921.5×142025-11-21
Aurora Medical Center Burlington Burlington$10,4921.5×142025-11-21
Aurora Lakeland Medical Center Elkhorn$10,4921.5×142025-11-21
Aurora Medical Center Bay Area Marinette$10,4921.5×142025-11-21
Aurora Medical Ctr Oshkosh Oshkosh$10,4921.5×142025-11-21
Aurora Medical Center Summit Summit$10,4921.5×142025-11-21
Aurora Medical Center Grafton$10,4921.5×142025-11-21
Aurora West Allis Medical Center West Allis$10,8651.6×142025-11-21
Aurora Medical Ctr Kenosha Kenosha$10,8651.6×142025-11-21
Aurora Baycare Medical Ctr Green Bay$10,8651.6×142025-11-21
Froedtert Community Hospital New Berlin$11,3101.6×42025-12-31
Froedtert West Bend Hospital West Bend$12,0931.7×42025-12-31
Gundersen Lutheran Medical Center La Crosse$13,5221.9×32026-06-27
Aspirus Divine Savior Hospital Portage$13,8082.0×42026-04-01
Bellin Memorial Hospital Green Bay$18,1992.6×42026-06-27
Aspirus Wausau Hospital Wausau$18,4852.7×22026-04-01
Aspirus Stevens Point Hospital Stevens Point$21,2123.1×22026-04-01
Aspirus Rhinelander Hospital Rhinelander$21,2123.1×22026-04-01
Aspirus Wisconsin Rapids Hospital Wisconsin Rapids$21,2123.1×22026-04-01
Howard Young Medical Ctr Woodruff$21,2123.1×22026-04-01

CPT 31296

HospitalMedian across insurers× MedicareInsurersFile date
Watertown Regional Medical Center Watertown$4,9590.7×12026-04-01
Ascension Ne Wisconsin - St Elizabeth Campus Appleton$6,9551.0×32026-01-01
Ascension Calumet Hospital Chilton$6,9551.0×32026-01-01
Unitypoint Health - Meriter Madison$6,9761.0×12026-01-28
Ascension St Francis Hospital Milwaukee$7,5981.1×12026-01-01
Ascension Se Wisconsin Hospital - St Joseph Campus Milwaukee$7,5981.1×12026-01-01
Ascension Columbia St Mary'S Hospital Milwaukee Ca Milwaukee$7,6041.1×32026-01-01
Orthopaedic Hospital Of Wisconsin Glendale$9,1391.3×32026-01-01
Froedtert Holy Family Memorial Hospital Manitowoc$9,5741.4×32025-12-31
Froedtert Menomonee Falls Hospital Menomonee Falls$10,4821.5×42025-12-31
Aurora Medical Ctr Manitowoc County Two Rivers$10,4921.5×142025-11-21
Aurora Medical Center Sheboygan County Sheboygan$10,4921.5×142025-11-21
Aurora Medical Ctr Washington County Hartford$10,4921.5×142025-11-21
Aurora Medical Center Burlington Burlington$10,4921.5×142025-11-21
Aurora Lakeland Medical Center Elkhorn$10,4921.5×142025-11-21
Aurora Medical Center Bay Area Marinette$10,4921.5×142025-11-21
Aurora Medical Ctr Oshkosh Oshkosh$10,4921.5×142025-11-21
Aurora Medical Center Summit Summit$10,4921.5×142025-11-21
Aurora Medical Center Grafton$10,4921.5×142025-11-21
Aurora West Allis Medical Center West Allis$10,8651.6×142025-11-21
Aurora Medical Ctr Kenosha Kenosha$10,8651.6×142025-11-21
Aurora Baycare Medical Ctr Green Bay$10,8651.6×142025-11-21
Froedtert Community Hospital New Berlin$11,3101.6×42025-12-31
Froedtert West Bend Hospital West Bend$12,0931.7×42025-12-31
Gundersen Lutheran Medical Center La Crosse$13,5221.9×32026-06-27
Bellin Memorial Hospital Green Bay$13,6032.0×32026-06-27
Aspirus Divine Savior Hospital Portage$13,8082.0×42026-04-01
Aspirus Wausau Hospital Wausau$18,4852.7×22026-04-01
Aspirus Stevens Point Hospital Stevens Point$21,2123.1×22026-04-01
Aspirus Rhinelander Hospital Rhinelander$21,2123.1×22026-04-01
Aspirus Wisconsin Rapids Hospital Wisconsin Rapids$21,2123.1×22026-04-01
Howard Young Medical Ctr Woodruff$21,2123.1×22026-04-01

CPT 31297

HospitalMedian across insurers× MedicareInsurersFile date
Watertown Regional Medical Center Watertown$4,9590.7×12026-04-01
Unitypoint Health - Meriter Madison$6,0260.9×12026-01-28
Froedtert Holy Family Memorial Hospital Manitowoc$6,0410.9×32025-12-31
Froedtert Menomonee Falls Hospital Menomonee Falls$6,6850.9×42025-12-31
Ascension Ne Wisconsin - St Elizabeth Campus Appleton$6,8101.0×32026-01-01
Ascension Calumet Hospital Chilton$6,8101.0×32026-01-01
Aurora Medical Center Bay Area Marinette$7,2501.1×142025-11-21
Froedtert Community Hospital New Berlin$7,3141.0×42025-12-31
Ascension Columbia St Mary'S Hospital Milwaukee Ca Milwaukee$7,4461.1×32026-01-01
Ascension St Francis Hospital Milwaukee$7,4661.1×12026-01-01
Ascension Se Wisconsin Hospital - St Joseph Campus Milwaukee$7,4661.1×12026-01-01
Aurora Medical Ctr Manitowoc County Two Rivers$7,6511.1×142025-11-21
Aurora Medical Center Sheboygan County Sheboygan$7,6511.1×142025-11-21
Aurora Medical Ctr Washington County Hartford$7,6511.1×142025-11-21
Aurora Medical Center Burlington Burlington$7,6511.1×142025-11-21
Aurora Lakeland Medical Center Elkhorn$7,6511.1×142025-11-21
Aurora West Allis Medical Center West Allis$7,6511.1×142025-11-21
Aurora Medical Ctr Kenosha Kenosha$7,6511.1×142025-11-21
Aurora Baycare Medical Ctr Green Bay$7,6511.1×142025-11-21
Aurora Medical Ctr Oshkosh Oshkosh$7,6511.1×142025-11-21
Aurora Medical Center Summit Summit$7,6511.1×142025-11-21
Aurora Medical Center Grafton$7,6511.1×142025-11-21
Froedtert West Bend Hospital West Bend$7,7261.1×42025-12-31
Orthopaedic Hospital Of Wisconsin Glendale$9,1391.3×32026-01-01
Gundersen Lutheran Medical Center La Crosse$13,5221.9×32026-06-27
Bellin Memorial Hospital Green Bay$13,6182.0×22026-06-27
Aspirus Divine Savior Hospital Portage$13,8082.0×42026-04-01
Aspirus Wausau Hospital Wausau$18,4852.7×22026-04-01
Aspirus Stevens Point Hospital Stevens Point$21,2123.1×22026-04-01
Aspirus Rhinelander Hospital Rhinelander$21,2123.1×22026-04-01
Aspirus Wisconsin Rapids Hospital Wisconsin Rapids$21,2123.1×22026-04-01
Howard Young Medical Ctr Woodruff$21,2123.1×22026-04-01

Questions

How much do insurers pay for balloon sinuplasty in Wisconsin?

32 Wisconsin hospitals post usable commercial rates for balloon sinuplasty in their federal price-transparency files. For CPT 31295, hospital outpatient, the median across 32 hospitals is $10,492, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.