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Pennsylvania rates for HCPCS 38129

Unlisted laparoscopy procedure, spleen

Facilitymedian $4,786 · 10th–90th $1,122–$8,3180%5%10%10th90th$4,786Professionalmedian $912 · 10th–90th $398–$3,7150%10%10th90th$912$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,096.48 / $5,623.41
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,000.00 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $562.34 / $870.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,715.35 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $1,023.29 / $3,715.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $812.83 / $912.01
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $812.83 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,897.79 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57