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Balloon Widening of the Pulmonary Heart Valve

North Carolina 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?

$1,820

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,622 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 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$1,622$1,096 to $2,344
FacilityA hospital or hospital-owned outpatient department$7,762$1,778 to $12,303

How much rates vary

Facilitymedian $7,762 · 10th to 90th $1,072 to $15,136Professionalmedian $1,622 · 10th to 90th $1,047 to $3,162
$1K$2K$5K$10K$20Kfacility $7,762professional $1,622

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
$1,288.25
Median
$7,762.47
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,344.23
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$27,542.29
Typical High
$32,359.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$2,884.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$14,454.40
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$2,818.38
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11

Where North Carolina 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.

North Carolina· 34th of 51

$1,820

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.