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Unlisted Keyhole Operation On The Spleen

North Carolina 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 July 2026.

How much does Unlisted Keyhole Operation On The Spleen cost?

$2,399

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $7,586 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 5 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$2,399$851 to $2,399
FacilityA hospital or hospital-owned outpatient department$7,586$1,660 to $10,233

How much rates vary

Facilitymedian $7,586 · 10th to 90th $1,288 to $16,982Professionalmedian $2,399 · 10th to 90th $646 to $8,318
$500$1K$2K$5K$10K$20Kfacility $7,586professional $2,399

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
$1,288.25
Median
$6,918.31
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$2,398.83
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$4,365.16
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$7,943.28
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93

Where North Carolina sits

The same service costs 25.7 times more in Indiana than in Maine. 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· 44th of 50

$2,399

IN $17,783ME $692

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.