go back

Balloon Opening Of Wall Between Heart Chambers

Florida rates for HCPCS 92992

A catheter procedure, used mainly in newborns with certain heart defects, that enlarges the natural opening in the wall between the two upper chambers of the heart. A tube is passed through a vein to the heart, and a balloon at its tip is inflated on the far side of the opening and pulled back through it to widen it, so oxygen-rich and oxygen-poor blood can mix and the baby can be stabilized.

Rates data updated July 2026.

How much rates vary

Facilitymedian $22,387 · 10th to 90th $1,995 to $41,687Professionalmedian $1,778 · 10th to 90th $1,622 to $1,820
$1K$2K$5K$10K$20K$50Kfacility $22,387professional $1,778

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
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$22,387.21
Typical High
$41,686.94
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,778.28
Typical High
$1,819.70