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Stomach-Reducing Weight Loss Surgery

Virginia 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?

$1,514

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $2,399 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 8 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$1,413$1,259 to $1,738
FacilityA hospital or hospital-owned outpatient department$2,399$1,514 to $9,333

How much rates vary

Facilitymedian $2,399 · 10th to 90th $1,288 to $14,125Professionalmedian $1,413 · 10th to 90th $1,175 to $2,291
$1K$2K$5K$10K$20Kfacility $2,399professional $1,413

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
$5,888.44
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,220.18
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$2,511.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$2,454.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$2,290.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$2,691.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,659.59
Typical High
$2,570.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,344.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$5,495.41
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$9,772.37
Typical High
$21,877.62
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$2,454.71

Where Virginia 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.

Virginia· 28th of 51

$1,514

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.