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Tibial/Peroneal Intravascular Lithotripsy

Indiana 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?

$12,882

Typical facility fee. In Indiana, October 2026.

Insurers have agreed to pay about $12,882 for this service. Most negotiated rates run $5,012 to $22,387.

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 $13,804 · 10th to 90th $1,259 to $39,811Professionalmedian $10,965 · 10th to 90th $1,380 to $10,965
$1K$2K$5K$10K$20K$50Kfacility $13,804professional $10,965

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
$1,380.38
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$10,964.78
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$21,877.62
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$10,471.29
Typical High
$17,378.01
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,137.96
Typical High
$16,982.44
United
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$8,912.51
Typical High
$16,218.10

Where Indiana 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.

Indiana· 7th of 51

$12,882

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.