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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 October 2026.

How much does Tibial/Peroneal Intravascular Lithotripsy cost?

$13,804

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $13,804 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $14,454 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$70.79 to $79.43
FacilityA hospital or hospital-owned outpatient department$14,454$7,762 to $20,417

How much rates vary

Facilitymedian $14,454 · 10th to 90th $3,020 to $42,658Professionalmedian $79 · 10th to 90th $71 to $8,913
$100$500$2K$10K$50Kfacility $14,454professional $79

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
$5,128.61
Median
$10,715.19
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$15,135.61
Typical High
$20,417.38
Moda Health
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$13,803.84
Typical High
$18,620.87
Moda Health
Setting
Professional
Modifier
None
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$19,952.62
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$10,471.29
Typical High
$16,595.87
Providence
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$15,135.61
Typical High
$19,498.45
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$39,810.72
Typical High
$45,708.82
United
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$50,118.72

Where Oregon 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.

Oregon· 6th of 51

$13,804

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.