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Stomach-Reducing Weight Loss Surgery

Washington, DC rates for HCPCS 43843

Open weight-loss surgery that makes the stomach smaller, so that a smaller amount of food brings a feeling of fullness, without rerouting the intestine. It covers stomach-reducing techniques other than the vertical banded approach.

Rates data updated July 2026.

How much does Stomach-Reducing Weight Loss Surgery cost?

$1,413

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,230 to $1,514.

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.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,514 to $7,943Professionalmedian $1,380 · 10th to 90th $1,122 to $1,905
$1K$2K$5K$10K$20Kfacility $4,074professional $1,380

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
$1,513.56
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,513.56
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,288.25
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$3,548.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,318.26
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$5,370.32
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$3,090.30

Where Washington, DC sits

The same service costs 2.5 times more in California than in Vermont. 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.

Washington, DC· 35th of 51

$1,413

CA $3,236VT $1,288

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.