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Pennsylvania 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 $6,761 · 10th–90th $1,514–$10,7150%10%20%10th90th$6,761Professionalmedian $15,136 · 10th–90th $1,585–$15,1360%50%10th$15,136$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$1,513.56 / $6,760.83 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $15,135.61 / $15,135.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $34,673.69 / $125,892.54
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $4,897.79 / $8,709.64
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $6,025.60 / $15,135.61
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,309.57 / $40,738.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $13,182.57