Ion backscattering off of surfaces in magnetically insulated transmission lines (MITLs) is often ignored in kinetic simulations of MITL power flow. Backscattering reduces ion current losses and the surface impact heating, which dictates the rate at which surface-adsorbed contaminants are liberated into the anode–cathode gap. Backscatter probabilities are difficult to implement in a kinetic code because there are limited data for incident ion energies less than a few keV. This paper presents an analytic model based on the Rutherford scattering formula that reproduces the measured backscatter probabilities at high incident energies and transitions to the highly reflective behavior expected at low incident energies. The backscatter model is implemented in power flow simulations, which are validated with current loss experiments conducted on the 0.4 TW Mykonos accelerator at Sandia National Laboratories. This simulation setup is then used in a high-current Z-machine shot. Backscatter effects are found to be unimportant in the low-current Mykonos regime but significantly reduce current losses at the Z-machine scale.