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Balloon Widening of the Pulmonary Heart Valve

West 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?

$1,148

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,096 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 4 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$1,148$1,023 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,096$1,096 to $1,413

How much rates vary

Facilitymedian $1,096 · 10th to 90th $1,096 to $3,631Professionalmedian $1,148 · 10th to 90th $1,023 to $1,514
$1K$2K$5K$10K$20Kfacility $1,096professional $1,148

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
$1,096.48
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$1,230.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,412.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,778.28
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,943.28
Typical High
$32,359.37
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$1,737.80

Where West 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.

West Virginia· 49th 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.