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Lower Extremity Intravascular Lithotripsy

Pennsylvania 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?

$5,495

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,129 from a physician practice, and about $5,495 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 5 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$5,129$1,445 to $22,909
FacilityA hospital or hospital-owned outpatient department$5,495$3,802 to $7,762

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,445 to $8,511Professionalmedian $5,129 · 10th to 90th $1,288 to $22,909
$1K$2K$5K$10K$20Kfacility $5,495professional $5,129

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
$1,445.44
Median
$5,495.41
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$6,165.95
Typical High
$22,908.68
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$38,018.94
Typical High
$52,480.75
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,786.30
Typical High
$8,511.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$2,344.23
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,165.95
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87

Where Pennsylvania 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.

Pennsylvania· 44th of 51

$5,495

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.