go back

California 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 $11,220 · 10th–90th $5,495$19,4980%5%10%10th90th$11,220Professionalmedian $9,333 · 10th–90th $3,631$15,1360%20%10th90th$9,333$100.0$500.0$2.0K$10.0K$50.0K

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
$4,168.69 / $10,000.00 / $21,379.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $11,481.54 / $15,135.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $11,481.54 / $17,782.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $316.23 / $331.13
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $35,481.34 / $45,708.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $14,791.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $630.96 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $57,543.99 / $57,543.99
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $15,135.61 / $30,199.52
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $14,125.38 / $28,840.32