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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 October 2026.

How much does Unlisted Keyhole Operation On The Spleen cost?

$813

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $2,399 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$813$813 to $813
FacilityA hospital or hospital-owned outpatient department$2,399$1,047 to $4,677

How much rates vary

Facilitymedian $2,399 · 10th to 90th $589 to $7,244Professionalmedian $813 · 10th to 90th $813 to $813
$100$200$500$1K$2K$5K$10Kfacility $2,399professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). 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
$4,073.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$891.25
Typical High
$6,165.95
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$10,715.19
Typical High
$12,022.64
Cigna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$645.65
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$12,589.25
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$3,801.89
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$812.83
Typical High
$7,244.36
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$3,890.45
Typical High
$5,888.44
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$2,398.83
Typical High
$6,918.31

Where Pennsylvania 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.

Pennsylvania· 49th of 51

$813

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.