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Keyhole Muscle Release of the Lower Food Pipe

Maine rates for HCPCS 43279

A keyhole operation through small abdominal incisions in which the tight muscle ring at the junction of the food pipe and the stomach is cut lengthways so food and drink can pass through. It treats a swallowing disorder in which that muscle fails to relax, leaving food stuck and coming back up. A wrap of the top of the stomach is added when needed to reduce acid reflux afterwards.

Rates data updated July 2026.

How much does Keyhole Muscle Release of the Lower Food Pipe cost?

$38,905

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $34,674 to $48,978.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $38,905 · 10th to 90th $9,772 to $52,481
$1K$2K$5K$10K$20K$50Kfacility $38,905

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
$9,772.37
Median
$9,772.37
Typical High
$12,022.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$39,810.72
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37

Where Maine sits

The same service costs 30.9 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.

Maine· 1st of 50

$38,905

ME $38,905ND $1,259

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.