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Lower Extremity Intravascular Lithotripsy

Massachusetts 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?

$8,913

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $8,913 for this service. The price depends on where it is billed: about $22,909 from a physician practice, and about $3,802 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 6 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$12,023 to $30,200
FacilityA hospital or hospital-owned outpatient department$3,802$2,818 to $5,129

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,512 to $8,318Professionalmedian $22,909 · 10th to 90th $9,772 to $33,884
$2K$5K$10K$20K$50Kfacility $3,802professional $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
$2,511.89
Median
$3,715.35
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$25,703.96
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$6,165.95
Typical High
$14,125.38
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,918.31
Typical High
$15,488.17
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$24,547.09
Typical High
$33,884.42
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$6,165.95
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$7,244.36
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$12,302.69
Typical High
$30,902.95

Where Massachusetts 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.

Massachusetts· 27th of 51

$8,913

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.