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Balloon Widening of the Pulmonary Heart Valve

Washington, DC rates for HCPCS 92990

This procedure widens a narrowed pulmonary valve, the valve controlling blood flow from the heart to the lungs, by threading a catheter with a deflated balloon to the valve and inflating it to stretch the opening. It is done without open-heart surgery, using imaging to guide the catheter through a blood vessel to the heart. It is used to treat pulmonary valve stenosis, a narrowing that makes the heart work harder to pump blood to the lungs.

Rates data updated July 2026.

How much does Balloon Widening of the Pulmonary Heart Valve cost?

$4,365

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $7,762 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,023$1,023 to $2,239
FacilityA hospital or hospital-owned outpatient department$7,762$4,074 to $9,772

How much rates vary

Facilitymedian $7,762 · 10th to 90th $1,023 to $12,589Professionalmedian $1,023 · 10th to 90th $1,023 to $19,953
$1K$2K$5K$10K$20K$50Kfacility $7,762professional $1,023

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$7,244.36
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$19,952.62
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$20,417.38
Typical High
$37,153.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$4,365.16
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$19,054.61
Typical High
$60,255.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,659.59
Typical High
$2,570.40

Where Washington, DC sits

The same service costs 8.5 times more in California than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 5th of 51

$4,365

CA $9,772MD $1,148

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.