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Unlisted Keyhole Stomach Operation

South 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?

$3,467

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $14,125 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$1,778 to $3,548
FacilityA hospital or hospital-owned outpatient department$14,125$9,772 to $20,417

How much rates vary

Facilitymedian $14,125 · 10th to 90th $5,623 to $23,988Professionalmedian $3,311 · 10th to 90th $437 to $6,918
$200$1K$5K$20Kfacility $14,125professional $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
$8,912.51
Median
$16,595.87
Typical High
$24,547.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$3,311.31
Typical High
$6,918.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$11,220.18
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$537.03
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$6,606.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,801.89
Typical High
$3,981.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$467.74
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$16,218.10
Typical High
$25,703.96

Where South 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.

South Carolina· 32nd of 50

$3,467

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.