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Unlisted Keyhole Operation On The Spleen

Illinois rates for HCPCS 38129

A keyhole operation on the spleen - performed through small punctures with a camera and long instruments - that has no standard named entry of its own. It is used when the work done does not match any established description, so the surgeon submits a written report of exactly what was performed.

Rates data updated October 2026.

How much does Unlisted Keyhole Operation On The Spleen cost?

$5,129

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $5,129 for this service. The price depends on where it is billed: about $2,512 from a physician practice, and about $5,370 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,512$794 to $5,623
FacilityA hospital or hospital-owned outpatient department$5,370$2,399 to $9,333

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,096 to $12,023Professionalmedian $2,512 · 10th to 90th $126 to $10,000
$100$200$500$1K$2K$5K$10Kfacility $5,370professional $2,512

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$831.76
Median
$2,344.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$3,235.94
Typical High
$10,232.93
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$9,772.37
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$758.58
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$125.89
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$4,073.80
Typical High
$12,882.50

Where Illinois sits

The same service costs 128.8 times more in Colorado than in Montana. 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.

Illinois· 15th of 51

$5,129

CO $10,233MT $79.43

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.