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Shoulder Arthroscopy with Subacromial Spacer Implant

Washington 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 $18,621 · 10th–90th $5,129$57,5440%10%10th90th$18,621Professionalmedian $15,136 · 10th–90th $1,148$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
$1,737.80
Median
$14,791.08
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$15,135.61
Typical High
$15,135.61
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$40,738.03
Typical High
$72,443.60
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$870.96
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$38,904.51
Typical High
$60,255.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$31,622.78
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$8,511.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$38,904.51
Typical High
$70,794.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$38,018.94
Typical High
$72,443.60