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Tibial/Peroneal Intravascular Lithotripsy

Virginia 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?

$10,715

Typical facility fee. In Virginia, October 2026.

Insurers have agreed to pay about $10,715 for this service. Most negotiated rates run $5,370 to $15,849.

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 $10,715 · 10th to 90th $2,692 to $27,542Professionalmedian $10,233 · 10th to 90th $3,981 to $30,200
$1K$2K$5K$10K$20K$50Kfacility $10,715professional $10,233

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
$3,801.89
Median
$7,244.36
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$5,888.44
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$13,803.84
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$7,585.78
Typical High
$15,135.61
Sentara
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$5,128.61
Typical High
$28,183.83
Sentara
Setting
Professional
Modifier
None
Typical Low
$10,232.93
Median
$13,489.63
Typical High
$30,902.95
United
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$13,489.63
Typical High
$36,307.81

Where Virginia 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.

Virginia· 14th of 51

$10,715

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.