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Shoulder Arthroscopy with Subacromial Spacer Implant

South Dakota 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 October 2026.

How much does Shoulder Arthroscopy with Subacromial Spacer Implant cost?

$13,804

Typical facility fee. In South Dakota, October 2026.

Insurers have agreed to pay about $13,804 for this service. Most negotiated rates run $3,467 to $15,136.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $3,236 to $25,704Professionalmedian $15,136 · 10th to 90th $15,136 to $15,136
$5K$10K$20Kfacility $3,890professional $15,136

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$13,803.84
Medica
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,890.45
Typical High
$25,703.96
Midlands
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$13,803.84
Typical High
$16,595.87
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,890.45

Where South Dakota sits

The same service costs 6.9 times more in Michigan than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 8th of 51

$13,804

MI $15,136AR $2,188

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.