go back

Unlisted Keyhole Stomach Operation

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $6,761 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 5 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$3,020$2,138 to $3,802
FacilityA hospital or hospital-owned outpatient department$6,761$6,761 to $6,761

How much rates vary

Facilitymedian $6,761 · 10th to 90th $4,365 to $15,488Professionalmedian $3,020 · 10th to 90th $1,202 to $4,786
$2K$5K$10K$20Kfacility $6,761professional $3,020

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
$4,365.16
Median
$6,760.83
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,202.26
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,019.95
Typical High
$3,801.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,073.80
Typical High
$4,466.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,302.69

Where South Dakota 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 Dakota· 24th 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.