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Tibial/Peroneal Intravascular Lithotripsy

Tennessee 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 Tennessee, October 2026.

Insurers have agreed to pay about $6,166 for this service. Most negotiated rates run $3,162 to $10,233.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,310 · 10th to 90th $1,479 to $14,125Professionalmedian $2,818 · 10th to 90th $2,570 to $10,965
$1K$2K$5K$10K$20Kfacility $6,310professional $2,818

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
$1,819.70
Median
$2,818.38
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,818.38
Typical High
$10,964.78
BCBS Tennessee
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$4,897.79
Typical High
$10,471.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$8,317.64
Typical High
$17,378.01
United
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$10,000.00
Typical High
$15,848.93

Where Tennessee 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.

Tennessee· 38th 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.