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Unlisted Keyhole Stomach Operation

New York 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?

$5,495

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $7,079 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 8 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$813 to $5,012
FacilityA hospital or hospital-owned outpatient department$7,079$4,786 to $10,000

How much rates vary

Facilitymedian $7,079 · 10th to 90th $3,020 to $14,454Professionalmedian $1,995 · 10th to 90th $398 to $7,762
$100$500$2K$10Kfacility $7,079professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$5,888.44
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$2,511.89
Typical High
$7,762.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$8,317.64
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$7,585.78
Typical High
$8,709.64
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,778.28
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$7,244.36
Typical High
$17,782.79
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$17,782.79
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$8,912.51
Typical High
$15,488.17
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$45,708.82
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$5,495.41
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where New York 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 York· 9th of 50

$5,495

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.