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Shoulder Arthroscopy with Subacromial Spacer Implant

Wisconsin 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.

How much does Shoulder Arthroscopy with Subacromial Spacer Implant cost?

$15,488

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $15,488 for this service. The price depends on where it is billed: about $15,136 from a physician practice, and about $15,849 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15,136$15,136 to $15,136
FacilityA hospital or hospital-owned outpatient department$15,849$12,882 to $20,417

How much rates vary

Facilitymedian $15,849 · 10th to 90th $10,715 to $26,303Professionalmedian $15,136 · 10th to 90th $71 to $15,136
$100$500$2K$10Kfacility $15,849professional $15,136

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$9,332.54
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,218.10
Typical High
$26,302.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$20,892.96
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,882.50
Typical High
$17,378.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$10,715.19
Typical High
$17,378.01
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$13,803.84
Typical High
$17,782.79

Where Wisconsin sits

The same service costs 81.3 times more in Vermont than in Maryland. 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.

Wisconsin· 7th of 51

$15,488

VT $81,283MD $1,000

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.