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Stomach-Reducing Weight Loss Surgery

New Jersey 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 negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $8,511 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 5 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$1,202 to $1,862
FacilityA hospital or hospital-owned outpatient department$8,511$5,888 to $11,482

How much rates vary

Facilitymedian $8,511 · 10th to 90th $2,630 to $22,909Professionalmedian $1,380 · 10th to 90th $1,072 to $2,951
$1K$2K$5K$10K$20Kfacility $8,511professional $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
$2,187.76
Median
$8,511.38
Typical High
$28,183.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,882.50
Typical High
$67,608.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,548.82
Typical High
$3,090.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,778.28
Typical High
$2,570.40
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$223.87
Typical High
$251.19
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,445.44
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$8,511.38
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$2,818.38

Where New Jersey 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.

New Jersey· 31st 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.