go back

Lower Extremity Intravascular Lithotripsy

South Dakota 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 facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $22,909 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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $4,365 to $38,905Professionalmedian $22,909 · 10th to 90th $22,909 to $22,909
$5K$10K$20K$50Kfacility $5,370professional $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. 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
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$22,908.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$38,904.51
Typical High
$63,095.73
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32

Where South Dakota 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.

South Dakota· 7th 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.