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Unlisted Keyhole Stomach Operation

Montana 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?

$1,995

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $15,849 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$1,995$1,585 to $3,467
FacilityA hospital or hospital-owned outpatient department$15,849$2,692 to $66,069

How much rates vary

Facilitymedian $15,849 · 10th to 90th $1 to $87,096Professionalmedian $1,995 · 10th to 90th $1,585 to $5,495
$1$10$100$1K$10K$100Kfacility $15,849professional $1,995

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
$0.89
Median
$0.89
Typical High
$0.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,995.26
Typical High
$5,495.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$6,606.93
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$15,848.93
Typical High
$16,595.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$15,848.93
Typical High
$16,595.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,311.31
Typical High
$4,265.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69

Where Montana 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.

Montana· 48th of 50

$1,995

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.