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Tibial/Peroneal Intravascular Lithotripsy

Idaho rates for HCPCS C9772

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed

Rates data updated October 2026.

How much does Tibial/Peroneal Intravascular Lithotripsy cost?

$10,715

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $10,715 for this service. The price depends on where it is billed: about $8,710 from a physician practice, and about $10,715 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8,710$30.20 to $18,621
FacilityA hospital or hospital-owned outpatient department$10,715$6,310 to $18,621

How much rates vary

Facilitymedian $10,715 · 10th to 90th $4,786 to $28,840Professionalmedian $8,710 · 10th to 90th $30 to $18,621
$100$1K$10Kfacility $10,715professional $8,710

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$3,388.44
Median
$4,466.84
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$8,709.64
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$12,882.50
Typical High
$33,113.11
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$9,772.37
Typical High
$13,489.63
Moda Health
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$4,466.84
Typical High
$8,709.64
Moda Health
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$8,709.64
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$27,542.29
Typical High
$36,307.81
Select Health
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$26,302.68
United
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$5,495.41
Typical High
$10,715.19

Where Idaho sits

The same service costs 229.1 times more in Wyoming than in Montana. 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.

Idaho· 14th of 51

$10,715

WY $18,197MT $79.43

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.