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Unlisted Keyhole Operation On The Food Pipe

North Carolina rates for HCPCS 43289

Covers a keyhole operation on the food pipe, performed with a camera and instruments through small abdominal incisions, for which there is no standard named service. The surgeon submits a written report describing exactly what was done. It is used only when no named keyhole procedure on the food pipe matches the work performed.

Rates data updated July 2026.

How much does Unlisted Keyhole Operation On The Food Pipe cost?

$3,162

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $5,754 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 5 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$2,089$1,288 to $3,162
FacilityA hospital or hospital-owned outpatient department$5,754$3,162 to $8,318

How much rates vary

Facilitymedian $5,754 · 10th to 90th $1,380 to $12,589Professionalmedian $2,089 · 10th to 90th $832 to $8,128
$500$1K$2K$5K$10K$20Kfacility $5,754professional $2,089

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
$1,380.38
Median
$5,754.40
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$2,089.30
Typical High
$8,128.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$7,943.28
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$6,606.93

Where North Carolina sits

The same service costs 25.7 times more in Indiana than in Maine. 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· 42nd of 50

$3,162

IN $17,783ME $692

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.