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Tibial/Peroneal Intravascular Lithotripsy

Nebraska 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?

$8,511

Typical facility fee. In Nebraska, October 2026.

Insurers have agreed to pay about $8,511 for this service. Most negotiated rates run $4,074 to $12,589.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,710 · 10th to 90th $2,188 to $18,621Professionalmedian $7,586 · 10th to 90th $6,166 to $10,965
$2K$5K$10K$20Kfacility $8,710professional $7,586

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
$6,025.60
Median
$8,511.38
Typical High
$19,952.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$10,964.78
Typical High
$10,964.78
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$14,454.40
Typical High
$29,512.09
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$6,165.95
Median
$6,456.54
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$13,182.57
Typical High
$14,791.08
Medica
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$3,981.07
Typical High
$15,488.17
Midlands
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$13,182.57
Typical High
$20,417.38
United
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$3,981.07
Typical High
$13,803.84

Where Nebraska 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.

Nebraska· 26th of 51

$8,511

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.