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Keyhole Repair of a Hiatal Hernia

North Carolina rates for HCPCS 43281

Repairs a hernia at the opening in the diaphragm where the food pipe passes through, in which part of the stomach has pushed up into the chest alongside it. Working through several small cuts with a camera and long instruments, the surgeon draws the stomach back down into the abdomen and closes the gap in the diaphragm, often wrapping the top of the stomach around the lower food pipe to control reflux. Whether the closure is reinforced with a mesh patch determines which version of the operation applies.

Rates data updated July 2026.

How much does Keyhole Repair of a Hiatal Hernia cost?

$5,129

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $1,738 to $9,333.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,514 to $12,589Professionalmedian $2,692 · 10th to 90th $2,692 to $2,692
$1K$2K$5K$10K$20Kfacility $5,129professional $2,692

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
$1,513.56
Median
$7,943.28
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$9,120.11
Typical High
$23,442.29
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$28,840.32
Typical High
$28,840.32
Wellcare
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$17,782.79
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03

Where North Carolina sits

The same service costs 16.6 times more in West Virginia 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.

North Carolina· 33rd of 50

$5,129

WV $28,840HI $1,738

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.