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Shoulder Arthroscopy with Subacromial Spacer Implant

North Carolina 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 $9,333 · 10th–90th $1,660$17,7830%10%10th90th$9,333Professionalmedian $15,136 · 10th–90th $708$15,1360%50%10th$15,136$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
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$8,709.64
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$15,135.61
Typical High
$15,135.61
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$21,877.62
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$14,454.40
Typical High
$26,915.35
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$57,543.99
Typical High
$57,543.99