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Unlisted Keyhole Stomach Operation

California rates for HCPCS 43659

Covers a keyhole (laparoscopic) operation on the stomach for which no standard named service exists. The surgeon submits a written report describing exactly what was done, and the health plan reviews it individually to decide payment.

Rates data updated July 2026.

How much does Unlisted Keyhole Stomach Operation cost?

$4,467

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $8,913 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 9 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$2,884$1,995 to $5,012
FacilityA hospital or hospital-owned outpatient department$8,913$4,898 to $13,804

How much rates vary

Facilitymedian $8,913 · 10th to 90th $2,884 to $20,893Professionalmedian $2,884 · 10th to 90th $832 to $8,913
$100$500$2K$10Kfacility $8,913professional $2,884

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
$3,467.37
Median
$9,549.93
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$2,884.03
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,413.10
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$15,135.61
Typical High
$15,135.61
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$7,943.28
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,023.29
Typical High
$13,489.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$6,606.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$630.96
Typical High
$4,073.80
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,981.07
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$17,782.79
Typical High
$17,782.79
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$3,235.94
Typical High
$4,365.16
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$11,748.98
Typical High
$25,118.86
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$85.11

Where California sits

The same service costs 6.0 times more in Indiana than in Arkansas. 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.

California· 14th of 50

$4,467

IN $10,965AR $1,820

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.