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Tibial/Peroneal Intravascular Lithotripsy

Wisconsin 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?

$17,783

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $17,783 for this service. Most negotiated rates run $14,454 to $21,878.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $17,783 · 10th to 90th $12,589 to $28,840Professionalmedian $59 · 10th to 90th $50 to $85
$100$500$2K$10Kfacility $17,783professional $59

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. 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
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$17,782.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$18,197.01
Typical High
$30,199.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$15,135.61
Typical High
$23,988.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$12,882.50
Typical High
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$16,218.10
Typical High
$22,387.21

Where Wisconsin 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.

Wisconsin· 7th of 51

$17,783

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.