go back

Balloon Opening Of Wall Between Heart Chambers

Wisconsin 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?

$3,715

Typical physician fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $3,715 for this service. Most negotiated rates run $3,236 to $4,467.

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.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $3,236 to $6,026Professionalmedian $3,311 · 10th to 90th $2,042 to $9,772
$100$200$500$1K$2K$5K$10Kfacility $3,802professional $3,311

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
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,311.31
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$9,772.37
Typical High
$9,772.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$5,128.61
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$9,772.37
Typical High
$9,772.37

Where Wisconsin 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.

Wisconsin· 18th of 28

$3,715

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.