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Unlisted Keyhole Stomach Operation

Virginia 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?

$5,248

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $7,943 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 7 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$2,754 to $6,310
FacilityA hospital or hospital-owned outpatient department$7,943$4,365 to $12,882

How much rates vary

Facilitymedian $7,943 · 10th to 90th $2,042 to $18,197Professionalmedian $3,311 · 10th to 90th $1,622 to $8,710
$1K$2K$5K$10K$20Kfacility $7,943professional $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
$1,230.27
Median
$7,079.46
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$3,311.31
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$11,220.18
Typical High
$12,302.69
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$10,000.00
Typical High
$12,022.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
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
$2,570.40
Median
$3,467.37
Typical High
$3,981.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$10,000.00
Typical High
$17,782.79
Sentara
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$10,000.00
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$10,232.93
Typical High
$21,877.62
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Virginia 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.

Virginia· 11th of 50

$5,248

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.