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Balloon Widening of the Pulmonary Heart Valve

Montana 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?

$1,862

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $1,862 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$1,862$1,318 to $3,162
FacilityA hospital or hospital-owned outpatient department$1,862$1,862 to $1,995

How much rates vary

Facilitymedian $1,862 · 10th to 90th $1,820 to $2,291Professionalmedian $1,862 · 10th to 90th $1,072 to $3,236
$100$500$2K$10Kfacility $1,862professional $1,862

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
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,698.24
Typical High
$2,398.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,862.09
Typical High
$2,290.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,862.09
Typical High
$2,290.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,905.46
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,047.13
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,819.70
Typical High
$2,137.96

Where Montana 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.

Montana· 31st of 51

$1,862

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.