go back

Tibial/Peroneal Intravascular Lithotripsy

Rhode Island 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?

$5,623

Typical facility fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $2,455 to $11,220.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,202 to $17,783
$1K$2K$5K$10K$20Kfacility $5,623

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
$3,019.95
Median
$3,715.35
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$10,471.29
Typical High
$14,791.08
United
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$5,623.41
Typical High
$19,054.61

Where Rhode Island 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.

Rhode Island· 44th of 51

$5,623

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.