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Balloon Widening of the Pulmonary Heart Valve

Ohio 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?

$3,311

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $9,550 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 8 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$1,318$1,122 to $2,188
FacilityA hospital or hospital-owned outpatient department$9,550$5,012 to $12,303

How much rates vary

Facilitymedian $9,550 · 10th to 90th $2,089 to $20,893Professionalmedian $1,318 · 10th to 90th $955 to $10,233
$100$1K$10Kfacility $9,550professional $1,318

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
$2,089.30
Median
$10,232.93
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$12,302.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$7,413.10
Typical High
$30,199.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$2,089.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$20,417.38
Typical High
$23,988.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$2,137.96
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$22,387.21
Typical High
$24,547.09
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$9,332.54
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$2,089.30

Where Ohio 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.

Ohio· 8th of 51

$3,311

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.