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Lower Extremity Intravascular Lithotripsy

Idaho 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?

$22,909

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $22,909 for this service. The price depends on where it is billed: about $22,909 from a physician practice, and about $22,387 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 7 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$22,909$8,710 to $22,909
FacilityA hospital or hospital-owned outpatient department$22,387$8,710 to $26,915

How much rates vary

Facilitymedian $22,387 · 10th to 90th $4,467 to $33,113Professionalmedian $22,909 · 10th to 90th $4,467 to $22,909
$100$1K$10Kfacility $22,387professional $22,909

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
$3,388.44
Median
$8,709.64
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$22,908.68
Typical High
$22,908.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$22,387.21
Typical High
$36,307.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$26,915.35
Typical High
$41,686.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$24,547.09
Typical High
$37,153.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$21,877.62
Typical High
$29,512.09
United
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$26,915.35
Typical High
$29,512.09

Where Idaho 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.

Idaho· 4th of 51

$22,909

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.