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Unlisted Keyhole Stomach Operation

Georgia 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?

$3,802

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $5,623 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 6 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$2,570$1,514 to $4,266
FacilityA hospital or hospital-owned outpatient department$5,623$3,162 to $8,913

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,660 to $11,749Professionalmedian $2,570 · 10th to 90th $832 to $5,754
$200$500$1K$2K$5K$10K$20Kfacility $5,623professional $2,570

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
$3,548.13
Median
$6,456.54
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$2,570.40
Typical High
$5,754.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$4,265.80
Typical High
$9,772.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$275.42
Typical High
$6,025.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$758.58
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$6,606.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$7,413.10
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$5,370.32
Typical High
$10,471.29

Where Georgia 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.

Georgia· 23rd of 50

$3,802

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.