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Stomach To Small Bowel Bypass With Vagotomy

Washington rates for HCPCS 43825

Creates a new connection between the stomach and the jejunum, the middle part of the small intestine, so food can pass around a blocked or narrowed stomach outlet. During the same operation the nerve that drives the stomach to make acid is also cut.

Rates data updated July 2026.

Facilitymedian $2,512 · 10th–90th $1,479$6,4570%10%10th90th$2,512Professionalmedian $1,778 · 10th–90th $1,175$3,5480%10%10th90th$1,778$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,311.31
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$3,801.89
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,511.89
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$2,041.74
Typical High
$3,890.45
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,398.83
Typical High
$3,388.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,137.96
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$575.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,511.89
Typical High
$2,570.40
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,819.70
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,570.40
Typical High
$3,801.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,511.89
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,230.27
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,862.09
Typical High
$3,467.37
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,318.26
Typical High
$2,454.71