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Balloon Widening of the Pulmonary Heart Valve

South 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?

$1,148

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $13,490 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$1,096$1,047 to $1,148
FacilityA hospital or hospital-owned outpatient department$13,490$7,943 to $21,380

How much rates vary

Facilitymedian $13,490 · 10th to 90th $1,148 to $22,909Professionalmedian $1,096 · 10th to 90th $1,000 to $2,138
$100$1K$10Kfacility $13,490professional $1,096

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
$1,096.48
Median
$12,882.50
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,096.48
Typical High
$1,621.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$14,454.40
Typical High
$22,387.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$30,902.95
Typical High
$61,659.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$2,691.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$19,952.62
Typical High
$32,359.37
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$1,995.26

Where South 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.

South Carolina· 50th of 51

$1,148

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.