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Stomach-Reducing Weight Loss Surgery

Kentucky 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?

$1,288

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $5,888 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 6 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$1,259$1,148 to $1,514
FacilityA hospital or hospital-owned outpatient department$5,888$1,585 to $9,120

How much rates vary

Facilitymedian $5,888 · 10th to 90th $851 to $11,220Professionalmedian $1,259 · 10th to 90th $1,096 to $1,862
$50$200$1K$5Kfacility $5,888professional $1,259

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
$851.14
Median
$1,584.89
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,288.25
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,698.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$1,905.46
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$7,244.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$4,897.79
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$2,454.71

Where Kentucky 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.

Kentucky· 50th of 51

$1,288

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.