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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.

Facilitymedian $15,849 · 10th–90th $10,715$26,3030%10%10th90th$15,849Professionalmedian $15,136 · 10th–90th $71$15,1360%50%10th$15,136$100.0$500.0$2.0K$10.0K

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
$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