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Tibial/Peroneal Intravascular Lithotripsy

Pennsylvania 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?

$6,166

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $6,166 for this service. Most negotiated rates run $2,692 to $10,000.

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 $6,310 · 10th to 90th $708 to $12,882Professionalmedian $1,738 · 10th to 90th $603 to $10,965
$500$1K$2K$5K$10K$20Kfacility $6,310professional $1,738

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
$977.24
Median
$5,128.61
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$1,737.80
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$2,691.53
Typical High
$12,882.50
Geisinger
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$9,772.37
Typical High
$16,982.44
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$4,786.30
Typical High
$8,511.38
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$1,584.89
Typical High
$10,964.78
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$5,495.41
Typical High
$14,125.38

Where Pennsylvania 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.

Pennsylvania· 39th of 51

$6,166

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.