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Keyhole Removal of a Gastric Band and Port

Wisconsin rates for HCPCS 43774

Keyhole surgery to take out an adjustable band placed around the upper stomach for weight loss, together with the small filling port under the skin and the tubing between them. It is done when the band has slipped, worn into the stomach wall, stopped working or is causing symptoms such as reflux or vomiting. The stomach itself is left in place.

Rates data updated July 2026.

How much does Keyhole Removal of a Gastric Band and Port cost?

$5,888

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $5,888 for this service. Most negotiated rates run $2,138 to $8,913.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,586 · 10th to 90th $1,175 to $16,218Professionalmedian $2,138 · 10th to 90th $1,175 to $3,311
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $7,586professional $2,138

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
$1,023.29
Median
$1,905.46
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,128.31
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,818.38
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$9,549.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,412.54
Typical High
$16,982.44
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$12,882.50
Typical High
$27,542.29
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,995.26
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,137.96
Typical High
$3,311.31
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$7,762.47
Typical High
$11,220.18
Quartz
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Quartz
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$165.96
Median
$776.25
Typical High
$1,122.02
Security Health
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
$6,918.31
Median
$15,488.17
Typical High
$21,379.62

Where Wisconsin sits

The same service costs 14.5 times more in West Virginia than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $5,888 · 13th of 50
WV $13,490ND $933

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.