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Lower Extremity Intravascular Lithotripsy

Washington 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 Washington, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $11,482 to $28,184.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $17,783 · 10th to 90th $4,467 to $47,863Professionalmedian $22,909 · 10th to 90th $22,909 to $22,909
$1K$2K$5K$10K$20K$50Kfacility $17,783professional $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
$2,951.21
Median
$13,182.57
Typical High
$27,542.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$22,908.68
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$34,673.69
Typical High
$60,255.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$46,773.51
Typical High
$83,176.38
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$26,915.35
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$33,113.11
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$36,307.81
Typical High
$69,183.10

Where Washington 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.

Washington· 8th 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.