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Balloon Widening of the Pulmonary Heart Valve

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $2,754 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 7 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$1,820$1,096 to $2,138
FacilityA hospital or hospital-owned outpatient department$2,754$1,585 to $5,370

How much rates vary

Facilitymedian $2,754 · 10th to 90th $1,349 to $6,918Professionalmedian $1,820 · 10th to 90th $1,023 to $2,692
$1K$2K$5K$10K$20Kfacility $2,754professional $1,820

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,365.16
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,071.52
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,137.96
Typical High
$2,691.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,659.59
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,862.09
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,454.71
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,819.70
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$2,344.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$2,344.23

Where South Dakota 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 Dakota· 32nd 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.