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Other Surgery On The Lymph Or Blood-Forming System

Illinois rates for HCPCS 38999

Covers an operation on the spleen, the lymph nodes and lymph channels, or the blood-forming tissues, that has no standard named entry of its own. The surgeon submits a written report describing exactly what was done so the insurer can price it against comparable named operations.

Rates data updated July 2026.

How much does Other Surgery On The Lymph Or Blood-Forming System cost?

$1,622

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $1,380 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 4 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$2,344$1,380 to $3,236
FacilityA hospital or hospital-owned outpatient department$1,380$851 to $3,236

How much rates vary

Facilitymedian $1,380 · 10th to 90th $537 to $5,623Professionalmedian $2,344 · 10th to 90th $398 to $6,310
$1$10$100$1K$10Kfacility $1,380professional $2,344

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,621.81
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$2,344.23
Typical High
$6,309.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$758.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$707.95
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where Illinois sits

The same service costs 147.9 times more in New Hampshire 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.

Illinois· 30th of 50

$1,622

NH $8,913ND $60.26

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.