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Shoulder Arthroscopy with Subacromial Spacer Implant

Utah 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 $6,457 · 10th–90th $3,162$18,1970%10%10th90th$6,457Professionalmedian $5,012 · 10th–90th $4,571$8,5110%20%10th90th$5,012$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$6,025.60
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$8,511.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$25,703.96
Typical High
$38,904.51
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,128.61
Typical High
$15,848.93