go back

Unlisted Keyhole Stomach Operation

Pennsylvania 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?

$3,802

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $5,129 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$2,630$1,698 to $4,677
FacilityA hospital or hospital-owned outpatient department$5,129$3,631 to $7,586

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,585 to $9,772Professionalmedian $2,630 · 10th to 90th $759 to $8,913
$200$1K$5K$20Kfacility $5,129professional $2,630

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
$1,584.89
Median
$5,248.07
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$2,511.89
Typical High
$5,495.41
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$36,307.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$5,128.61
Typical High
$6,606.93
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$14,125.38
Typical High
$43,651.58
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$4,786.30
Typical High
$14,125.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,698.24
Typical High
$6,165.95
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,801.89
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,786.30
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$79.43

Where Pennsylvania 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.

Pennsylvania· 21st of 50

$3,802

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.