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Stomach-Reducing Weight Loss Surgery

Massachusetts 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?

$1,549

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $3,020 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$1,514$1,288 to $2,512
FacilityA hospital or hospital-owned outpatient department$3,020$1,549 to $4,898

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,230 to $7,762Professionalmedian $1,514 · 10th to 90th $1,202 to $3,388
$100$500$2K$10Kfacility $3,020professional $1,514

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
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$3,235.94
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,715.35
Typical High
$9,772.37
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$741.31
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,698.24
Typical High
$3,388.44
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,659.59
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$2,454.71
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$5,011.87
Typical High
$27,542.29
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,137.96
Typical High
$3,235.94
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,715.35
Typical High
$9,772.37
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$4,897.79
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,137.96
Typical High
$3,801.89

Where Massachusetts 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.

Massachusetts· 25th of 51

$1,549

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.