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Balloon Widening of the Pulmonary Heart Valve

Vermont 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?

$1,905

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,905 for this service. Most negotiated rates run $1,445 to $2,291.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $2,692 to $2,692Professionalmedian $1,905 · 10th to 90th $1,230 to $2,570
$1K$2K$5Kfacility $2,692professional $1,905

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
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$2,137.96
Typical High
$2,290.87
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
United
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$4,570.88

Where Vermont 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.

Vermont· 20th of 51

$1,905

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.