go back

Unlisted Keyhole Operation On The Spleen

New York 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?

$6,457

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $7,079 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 7 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$832$398 to $6,026
FacilityA hospital or hospital-owned outpatient department$7,079$4,677 to $9,772

How much rates vary

Facilitymedian $7,079 · 10th to 90th $2,884 to $14,454Professionalmedian $832 · 10th to 90th $65 to $10,965
$100$500$2K$10Kfacility $7,079professional $832

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
$2,570.40
Median
$5,754.40
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$3,467.37
Typical High
$15,488.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$8,317.64
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,778.28
Typical High
$12,302.69
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$5,495.41
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.20
Median
$0.23
Typical High
$0.23
Univera
Setting
Professional
Modifier
Global
Typical Low
$0.20
Median
$0.23
Typical High
$0.23

Where New York 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.

New York· 17th of 50

$6,457

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.