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Nationwide rates for HCPCS C9781

Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed

Facilitymedian $7,762 · 10th–90th $2,512–$17,7830%10%20%10th90th$7,762Professionalmedian $15,136 · 10th–90th $2,692–$15,1360%50%10th$15,136$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $5,888.44 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $15,135.61 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $12,022.64 / $24,547.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $316.23 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $645.65 / $21,379.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $9,120.11 / $20,892.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $28,840.32 / $56,234.13

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