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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 October 2026.

How much does Balloon Widening of the Pulmonary Heart Valve cost?

$2,089

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $3,236 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,042$1,622 to $2,188
FacilityA hospital or hospital-owned outpatient department$3,236$1,698 to $3,467

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,479 to $3,890Professionalmedian $2,042 · 10th to 90th $1,122 to $2,692
$1K$2K$5Kfacility $3,236professional $2,042

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,047.13
Median
$4,365.16
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,137.96
Typical High
$2,691.53
Medica
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,511.89
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$2,089.30
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,570.40
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$2,630.27
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$2,187.76
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,344.23
Typical High
$2,344.23

Where South Dakota sits

The same service costs 8.9 times more in Oklahoma than in Texas. 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· 16th of 51

$2,089

OK $7,762TX $871

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.