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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 July 2026.

Facilitymedian $4,898 · 10th–90th $4,365$30,2000%20%10th90th$4,898Professionalmedian $15,136 · 10th–90th $15,136$15,1360%50%100%$15,136$5.0K$10.0K$20.0K

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
$4,365.16
Median
$4,365.16
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$25,703.96
Typical High
$41,686.94
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32