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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

Minnesota rates for HCPCS C9775

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed

Rates data updated October 2026.

How much does Tibial/Peroneal Lithotripsy with Stent and Atherectomy cost?

$18,197

Typical facility fee. In Minnesota, October 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $5,754 to $18,197.

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 $13,183 · 10th to 90th $3,981 to $44,668Professionalmedian $18,197 · 10th to 90th $18,197 to $18,197
$1K$2K$5K$10K$20K$50Kfacility $13,183professional $18,197

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
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$42,657.95
Typical High
$70,794.58
Medica
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$5,248.07
Typical High
$13,489.63
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$5,623.41
Typical High
$13,803.84

Where Minnesota sits

The same service costs 323.6 times more in Alaska 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.

Minnesota· 5th of 51

$18,197

AK $25,704MT $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.