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Other Surgery On The Lymph Or Blood-Forming System

Kentucky 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 October 2026.

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

$479

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $513 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$44.67 to $66,069
FacilityA hospital or hospital-owned outpatient department$513$120 to $1,585

How much rates vary

Facilitymedian $513 · 10th to 90th $71 to $4,169Professionalmedian $45 · 10th to 90th $45 to $85,114
$100$1K$10K$100Kfacility $513professional $45

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
$398.11
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$5,128.61
Typical High
$11,220.18
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,995.26
Typical High
$2,884.03
CareSource
Setting
Professional
Modifier
None
Typical Low
$64,565.42
Median
$79,432.82
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$467.74
Typical High
$794.33
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$186.21
Typical High
$1,148.15

Where Kentucky sits

The same service costs 190.5 times more in Oklahoma than in Hawaii. 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.

Kentucky· 41st of 51

$479

OK $5,623HI $29.51

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.