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Tibial/Peroneal Intravascular Lithotripsy

Oregon 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 facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $10,965 for this service. Most negotiated rates run $10,471 to $18,621.

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 $13,804 · 10th to 90th $7,943 to $36,308Professionalmedian $10,965 · 10th to 90th $79 to $10,965
$100$500$2K$10K$50Kfacility $13,804professional $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
$7,943.28
Median
$10,964.78
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$26,915.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$36,307.81
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$34,673.69
Typical High
$48,977.88

Where Oregon 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.

Oregon· 14th 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.