go back

Unlisted Keyhole Stomach Operation

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $7,586 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$3,311$1,950 to $3,548
FacilityA hospital or hospital-owned outpatient department$7,586$2,089 to $11,749

How much rates vary

Facilitymedian $7,586 · 10th to 90th $912 to $15,136Professionalmedian $3,311 · 10th to 90th $1,175 to $5,012
$10$100$1K$10Kfacility $7,586professional $3,311

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
$912.01
Median
$7,585.78
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$2,630.27
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$6,165.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$7,943.28
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$64.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$17,782.79
Typical High
$17,782.79

Where North Carolina 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.

North Carolina· 37th 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.