Purpose The endovascular treatment of peripheral arterial disease (PAD) has grown compared to open surgical procedures, to a greater degree in some states than others. This could be due to state-related differences in population health, health system structures and resources, and privately-insured status. We examined PAD procedures in terms of state and insurance status of patients to better understand the contemporary patterns of practice in Australia and Aotearoa New Zealand. Methodology Using AVA data on all the consecutive procedures performed in 2021 to 2023 for PAD in Australia and Aotearoa New Zealand, the 5 most common indications for PAD interventions were examined by state and by financial class. The data was analysed in R using summary statistics, multinomial logistic regression and generalised linear models. Results There were 30200 endovascular procedures for PAD between 2021 and 2023. 29370 procedures occurred in Australia and 830 in Aotearoa New Zealand. Using Australian Capital Territory (ACT) as the reference state, most other states had a higher rate of intervention (p<0.01), Victoria had the same rate, and Northern Territory had a lower rate (p<0.01). There is a significant positive correlation between private-to-public ratio and intervention rate across the states for all indications combined. After controlling for state, public patients compared to private have 65% lower odds for claudication, 53% lower odds for rest pain and 24% lower odds for ulcer as the intervention indication. Conclusion In Australia, the states with higher rates of interventions also had higher ratios of private to public patients.