go back

Other Surgery On The Lymph Or Blood-Forming System

New York 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?

$2,239

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $2,239 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,291$398 to $7,586
FacilityA hospital or hospital-owned outpatient department$2,239$794 to $4,169

How much rates vary

Facilitymedian $2,239 · 10th to 90th $457 to $7,244Professionalmedian $2,291 · 10th to 90th $398 to $10,965
$100$200$500$1K$2K$5K$10Kfacility $2,239professional $2,291

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
$1,737.80
Median
$4,570.88
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$6,456.54
Typical High
$13,489.63
CDPHP
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,778.28
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$707.95
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$1,258.93
Typical High
$4,365.16
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Highmark BCBS
Setting
Professional
Modifier
GC · Resident with teaching physician
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,041.74

Where New York 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.

New York· 6th of 51

$2,239

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.