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Tibial/Peroneal Intravascular Lithotripsy

Washington 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 July 2026.

How much does Tibial/Peroneal Intravascular Lithotripsy cost?

$13,183

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $13,183 for this service. Most negotiated rates run $10,965 to $28,184.

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.

How much rates vary

Facilitymedian $17,783 · 10th to 90th $4,467 to $48,978Professionalmedian $10,965 · 10th to 90th $10,965 to $10,965
$1K$2K$5K$10K$20K$50Kfacility $17,783professional $10,965

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$13,182.57
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$34,673.69
Typical High
$60,255.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$17,782.79
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$47,863.01
Typical High
$83,176.38
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$26,915.35
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$33,113.11
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$36,307.81
Typical High
$69,183.10

Where Washington sits

The same service costs 50.1 times more in Vermont than in Arkansas. 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.

Washington· 11th of 51

$13,183

VT $91,201AR $1,820

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.