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Unlisted Keyhole Operation On The Spleen

Wisconsin 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?

$12,023

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $12,023 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $12,303 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 8 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$54.95$33.11 to $85.11
FacilityA hospital or hospital-owned outpatient department$12,303$10,471 to $15,849

How much rates vary

Facilitymedian $12,303 · 10th to 90th $8,128 to $20,417Professionalmedian $55 · 10th to 90th $32 to $1,445
$50$200$1K$5K$20Kfacility $12,303professional $55

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,445.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$12,302.69
Typical High
$20,892.96
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,128.31
Typical High
$15,135.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$12,022.64
Typical High
$15,848.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$9,332.54
Typical High
$15,848.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$12,302.69
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Wisconsin 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.

Wisconsin· 5th of 50

$12,023

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.