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Balloon Widening of the Pulmonary Heart Valve

Illinois 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?

$1,778

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $4,467 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 6 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$1,349$1,148 to $1,950
FacilityA hospital or hospital-owned outpatient department$4,467$1,862 to $8,710

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,318 to $16,218Professionalmedian $1,349 · 10th to 90th $1,023 to $3,236
$500$1K$2K$5K$10K$20Kfacility $4,467professional $1,349

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
$1,258.93
Median
$3,630.78
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$3,162.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$14,791.08
Typical High
$23,442.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$14,125.38
Typical High
$19,054.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,584.89
Typical High
$2,137.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,659.59
Typical High
$7,943.28
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,380.38
Typical High
$1,548.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$7,762.47
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$2,511.89

Where Illinois 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.

Illinois· 36th of 51

$1,778

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.