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Unlisted Keyhole Stomach Operation

Michigan 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?

$3,311

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $4,898 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$1,585$1,349 to $3,311
FacilityA hospital or hospital-owned outpatient department$4,898$4,074 to $6,918

How much rates vary

Facilitymedian $4,898 · 10th to 90th $4,074 to $10,233Professionalmedian $1,585 · 10th to 90th $933 to $3,311
$1K$2K$5K$10Kfacility $4,898professional $1,585

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
$4,073.80
Median
$4,897.79
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$3,162.28
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$5,128.61
Typical High
$6,606.93
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,288.25
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$5,128.61
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$7,943.28
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Michigan 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.

Michigan· 40th of 50

$3,311

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.