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Lower Extremity Intravascular Lithotripsy

Iowa rates for HCPCS C9764

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed

Rates data updated July 2026.

How much does Lower Extremity Intravascular Lithotripsy cost?

$6,761

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $6,761 for this service. Most negotiated rates run $4,786 to $10,471.

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 $6,761 · 10th to 90th $4,169 to $20,893Professionalmedian $4,786 · 10th to 90th $151 to $21,878
$200$500$1K$2K$5K$10K$20Kfacility $6,761professional $4,786

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,248.07
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$21,877.62
Typical High
$21,877.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$14,791.08
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$15,135.61
Typical High
$30,199.52

Where Iowa sits

The same service costs 32.4 times more in Vermont than in Arkansas. 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· 35th of 51

$6,761

VT $58,884AR $1,820

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.