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Unlisted Keyhole Stomach Operation

New Jersey 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?

$8,128

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $8,128 for this service. The price depends on where it is billed: about $8,128 from a physician practice, and about $8,511 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 4 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$8,128$5,888 to $10,233
FacilityA hospital or hospital-owned outpatient department$8,511$6,026 to $10,233

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,467 to $18,197Professionalmedian $8,128 · 10th to 90th $3,981 to $12,303
$2K$5K$10K$20Kfacility $8,511professional $8,128

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
$4,466.84
Median
$8,128.31
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$8,511.38
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$5,495.41
Typical High
$7,244.36
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$17,782.79
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,801.89
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$8,709.64
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where New Jersey 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.

New Jersey· 4th of 50

$8,128

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.