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Shoulder Arthroscopy with Subacromial Spacer Implant

Indiana 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 $25,119 · 10th–90th $4,898$38,9050%10%10th90th$25,119Professionalmedian $15,136 · 10th–90th $1,380$15,1360%50%10th$15,136$2.0K$5.0K$10.0K$20.0K$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
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$8,511.38
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$15,135.61
Typical High
$15,135.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$29,512.09
Typical High
$43,651.58
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$11,748.98
Typical High
$18,197.01