Opening a sinus passage with a balloon: maxillary (31295), frontal (31296) or sphenoid (31297). What Medicare pays in each setting, in every state, and where it costs less.
Opening a sinus passage with a balloon: maxillary (31295), frontal (31296) or sphenoid (31297).
Every bill for the whole procedure: facility, surgeon, anesthesia and the care around it
Look up the price in your ZIP codeAll services
Medicare's 2026 national price for balloon sinuplasty is $1,578 at office or clinic; $3,240 at surgery center; $7,345 at hospital outpatient. Prices vary by area; private insurance usually pays more.
Usually at office or clinic ($1,578) rather than hospital outpatient ($7,345), about $5,768 less for the same service at Medicare's national rates.
These are Medicare's payment rates, a public benchmark for a fair price. What you pay depends on your insurance, deductible and the provider. Ask for a written estimate before you book; if you are uninsured or paying yourself, you are entitled to a Good Faith Estimate.