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Balloon Widening of the Pulmonary Heart Valve

Virginia 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?

$1,585

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $6,457 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$1,288$1,096 to $1,862
FacilityA hospital or hospital-owned outpatient department$6,457$2,399 to $11,220

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,230 to $15,849Professionalmedian $1,288 · 10th to 90th $1,000 to $7,079
$1K$2K$5K$10K$20Kfacility $6,457professional $1,288

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
$1,698.24
Median
$6,165.95
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$9,549.93
Typical High
$9,772.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$1,905.46
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$17,782.79
Typical High
$25,703.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$16,218.10
Typical High
$46,773.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$2,754.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$1,348.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$2,041.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$2,187.76
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$12,022.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,748.98
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$2,290.87

Where Virginia 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.

Virginia· 40th of 51

$1,585

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.