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Stomach-Reducing Weight Loss Surgery

Michigan 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?

$1,380

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $4,898 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$1,380$1,230 to $1,660
FacilityA hospital or hospital-owned outpatient department$4,898$4,898 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,660 to $7,943Professionalmedian $1,380 · 10th to 90th $1,175 to $1,862
$500$1K$2K$5K$10K$20Kfacility $4,898professional $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
$1,659.59
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,348.96
Typical High
$1,737.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,174.90
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$3,019.95
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,630.78
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$1,905.46
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,897.79
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,548.82
Typical High
$2,238.72

Where Michigan 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.

Michigan· 42nd of 51

$1,380

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.