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Lower Extremity Intravascular Lithotripsy

Oregon 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?

$19,953

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $8,913 to $22,909.

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.

How much rates vary

Facilitymedian $16,596 · 10th to 90th $7,943 to $34,674Professionalmedian $22,909 · 10th to 90th $79 to $22,909
$100$500$2K$10K$50Kfacility $16,596professional $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
$7,943.28
Median
$13,803.84
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$22,908.68
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$27,542.29
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$10,471.29
Typical High
$26,915.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$27,542.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$36,307.81
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$20,892.96
Typical High
$34,673.69

Where Oregon 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.

Oregon· 14th of 51

$19,953

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.