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Lower Extremity Intravascular Lithotripsy

Tennessee 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?

$4,786

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $2,570 to $8,710.

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.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,514 to $10,233Professionalmedian $22,909 · 10th to 90th $2,570 to $22,909
$1K$2K$5K$10K$20Kfacility $4,365professional $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
$1,096.48
Median
$2,630.27
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$22,908.68
Typical High
$22,908.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$8,128.31
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,762.47
Typical High
$12,302.69

Where Tennessee 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.

Tennessee· 46th of 51

$4,786

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.