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Tying Off a Leaking Main Lymph Channel

South Dakota rates for HCPCS 38380

Surgery to tie off the thoracic duct, the body's main lymph channel, when it has been injured and is leaking. Sealing it stops milky lymph fluid from collecting where it does not belong, and the fluid finds its way back to the bloodstream through smaller channels instead. It is done as an open operation.

Rates data updated October 2026.

How much does Tying Off a Leaking Main Lymph Channel cost?

$2,043

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $2,043 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $813 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,230$933 to $1,349
Facility feeThe hospital or surgery center$813$759 to $1,047

How much rates vary

Facilitymedian $813 · 10th to 90th $741 to $1,318Professionalmedian $1,230 · 10th to 90th $589 to $1,549
$500$1K$2K$5Kfacility $813professional $1,230

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$562.34
Median
$562.34
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,348.96
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$812.83
Typical High
$1,318.26
Medica
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$1,513.56
Typical High
$5,495.41
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,318.26
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$954.99
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$1,380.38
Typical High
$1,548.82
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$1,258.93

Where South Dakota sits

The same service costs 15.4 times more in Maine than in Maryland. 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.

Physician feeFacility fee

South Dakota· 28th of 51

$2,043

$1,230 physician + $813 facility

ME $18,210MD $1,179

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.