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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

Oregon 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?

$21,380

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $21,380 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $23,442 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$70.79 to $79.43
FacilityA hospital or hospital-owned outpatient department$23,442$7,762 to $33,884

How much rates vary

Facilitymedian $23,442 · 10th to 90th $3,020 to $54,954Professionalmedian $79 · 10th to 90th $71 to $8,913
$100$1K$10Kfacility $23,442professional $79

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
$5,128.61
Median
$10,715.19
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$26,915.35
Typical High
$36,307.81
Moda Health
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$13,803.84
Typical High
$18,620.87
Moda Health
Setting
Professional
Modifier
None
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$19,952.62
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$26,302.68
Providence
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$25,703.96
Typical High
$34,673.69
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$47,863.01
Median
$63,095.73
Typical High
$74,131.02
United
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$50,118.72

Where Oregon 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.

Oregon· 2nd of 51

$21,380

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.