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Surgical Opening of the Stomach

North Carolina rates for HCPCS 43500

An open operation in which the surgeon opens the stomach to explore its interior or to remove a foreign object. It is done through an abdominal incision rather than with a scope.

Rates data updated July 2026.

How much does Surgical Opening of the Stomach cost?

$1,000

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $794 to $1,413.

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 $1,000 · 10th to 90th $724 to $2,951Professionalmedian $1,148 · 10th to 90th $1,148 to $1,148
$500$1K$2K$5Kfacility $1,000professional $1,148

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
$776.25
Median
$2,511.89
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$6,456.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,897.79
Typical High
$4,897.79

Where North Carolina sits

The same service costs 17.0 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.

North Carolina· 45th of 50

$1,000

ME $13,183ND $776

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.