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Spleen Removal During A Larger Operation

North Carolina rates for HCPCS 38102

Removes the whole spleen together with the surrounding tissue it is stuck to, as part of a larger operation for disease that has spread into it. It is billed in addition to the main procedure.

Rates data updated July 2026.

How much does Spleen Removal During A Larger Operation cost?

$363

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $275 to $537.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $363 · 10th to 90th $251 to $1,660Professionalmedian $468 · 10th to 90th $468 to $468
$200$500$1K$2K$5Kfacility $363professional $468

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$977.24
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$2,041.74
Typical High
$6,456.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,584.89
Typical High
$1,584.89

Where North Carolina sits

The same service costs 51.3 times more in Maine than in North Dakota. 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.

North Carolina· 46th of 50

$363

ME $13,183ND $257

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.