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Balloon Opening Of Wall Between Heart Chambers

Iowa 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 does Balloon Opening Of Wall Between Heart Chambers cost?

$2,570

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $2,188 to $3,236.

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 $1,950 · 10th to 90th $1,514 to $5,129Professionalmedian $2,570 · 10th to 90th $2,089 to $3,236
$2K$5K$10Kfacility $1,950professional $2,570

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,949.84
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,089.30
Typical High
$9,772.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30

Where Iowa sits

The same service costs 10.7 times more in California than in New Jersey. 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.

Iowa· 23rd of 28

$2,570

CA $15,849NJ $1,479

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.