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Chest Lymph Node Removal With Another Operation

Virginia rates for HCPCS 38746

Removal of the lymph nodes in the chest, including those along the windpipe and in the space between the lungs, so they can be examined under a microscope. It is carried out during a larger chest operation rather than on its own, and is billed in addition to that main procedure. What the nodes show tells the care team whether disease has travelled beyond where it started.

Rates data updated July 2026.

How much does Chest Lymph Node Removal With Another Operation cost?

$5,370

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $355 to $15,136.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $240 to $21,380Professionalmedian $251 · 10th to 90th $186 to $490
$100$500$2K$10Kfacility $5,370professional $251

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
$213.80
Median
$4,365.16
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,054.61
Typical High
$26,302.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$575.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$489.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$501.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46

Where Virginia sits

The same service costs 107.2 times more in Maine than in North Dakota. 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.

Virginia· 15th of 50

$5,370

ME $22,387ND $209

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.