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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 July 2026.

How much does Tibial/Peroneal Intravascular Lithotripsy cost?

$10,965

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $10,965 for this service. The price depends on where it is billed: about $10,965 from a physician practice, and about $12,023 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 7 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$10,965$8,710 to $10,965
FacilityA hospital or hospital-owned outpatient department$12,023$8,710 to $25,119

How much rates vary

Facilitymedian $12,023 · 10th to 90th $4,467 to $36,308Professionalmedian $10,965 · 10th to 90th $4,467 to $10,965
$100$1K$10Kfacility $12,023professional $10,965

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
$3,388.44
Median
$8,709.64
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$10,964.78
Typical High
$10,964.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$22,387.21
Typical High
$36,307.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$12,882.50
Typical High
$19,952.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$26,302.68
Typical High
$37,153.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$21,877.62
Typical High
$29,512.09
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$25,118.86
Typical High
$66,069.34

Where Idaho sits

The same service costs 50.1 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.

Idaho· 16th of 51

$10,965

VT $91,201AR $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.