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Shoulder Arthroscopy with Subacromial Spacer Implant

Hawaii 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

Rates data updated July 2026.

Facilitymedian $6,026 · 10th–90th $2,570$6,0260%50%10th$6,026Professionalmedian $13,490 · 10th–90th $13,490$13,4900%50%100%$13,490$5.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$6,025.60
Typical High
$6,025.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30