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Unlisted Keyhole Operation On The Spleen

Pennsylvania 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?

$4,169

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $4,786 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$1,023$776 to $1,738
FacilityA hospital or hospital-owned outpatient department$4,786$3,090 to $6,761

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,413 to $8,318Professionalmedian $1,023 · 10th to 90th $427 to $5,888
$200$500$1K$2K$5K$10Kfacility $4,786professional $1,023

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
$1,412.54
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,096.48
Typical High
$5,888.44
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$36,307.81
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,073.80
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,122.02
Typical High
$6,165.95
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,801.89
Typical High
$6,456.54
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,786.30
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Pennsylvania 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.

Pennsylvania· 36th of 50

$4,169

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.