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Tibial/Peroneal Intravascular Lithotripsy

Massachusetts 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?

$4,898

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $4,898 for this service. The price depends on where it is billed: about $27,542 from a physician practice, and about $4,169 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$27,542$21,878 to $43,652
FacilityA hospital or hospital-owned outpatient department$4,169$2,692 to $7,244

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,047 to $14,791Professionalmedian $27,542 · 10th to 90th $12,303 to $48,978
$100$1K$10Kfacility $4,169professional $27,542

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,235.94
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$12,302.69
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$3,981.07
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$12,022.64
Typical High
$15,488.17
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$4,073.80
Typical High
$14,125.38
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$19,952.62
Median
$33,113.11
Typical High
$51,286.14
Health New England
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$20,417.38
Typical High
$20,417.38
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$3,981.07
Typical High
$11,220.18
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$4,073.80
Typical High
$26,302.68
Well Sense
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$6,918.31
Well Sense
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$6,309.57

Where Massachusetts 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.

Massachusetts· 47th of 51

$4,898

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.