go back

Balloon Widening of the Pulmonary Heart Valve

New York 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?

$3,631

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $8,318 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 9 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$1,259$1,096 to $1,950
FacilityA hospital or hospital-owned outpatient department$8,318$4,898 to $15,488

How much rates vary

Facilitymedian $8,318 · 10th to 90th $1,905 to $46,774Professionalmedian $1,259 · 10th to 90th $977 to $3,236
$1K$2K$5K$10K$20K$50Kfacility $8,318professional $1,259

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
$1,348.96
Median
$6,760.83
Typical High
$54,954.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,964.78
Typical High
$46,773.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$2,884.03
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$15,135.61
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$25,703.96
Typical High
$53,703.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,041.74
Typical High
$4,677.35
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,819.70
Typical High
$3,801.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$2,041.74
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,995.26
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$16,982.44
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$8,912.51
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$3,235.94
Univera
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,479.11
Typical High
$3,890.45
Univera
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,479.11
Typical High
$4,365.16

Where New York 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.

New York· 7th of 51

$3,631

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.