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Weight-Loss Surgery With Duodenal Switch

California rates for HCPCS 43845

A weight-loss operation that both shrinks the stomach and shortens the path food takes through the intestine. Part of the stomach is removed to leave a narrow tube, then the small intestine is divided and rerouted so food and digestive juices only mix along a short final stretch, which limits how many calories are absorbed. The valve at the stomach outlet is kept intact.

Rates data updated July 2026.

How much does Weight-Loss Surgery With Duodenal Switch cost?

$10,715

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $10,715 for this service. Most negotiated rates run $5,888 to $15,849.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11,482 · 10th to 90th $2,818 to $19,953Professionalmedian $1,995 · 10th to 90th $1,660 to $4,365
$100$500$2K$10Kfacility $11,482professional $1,995

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
$4,466.84
Median
$11,220.18
Typical High
$24,547.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,589.25
Typical High
$20,417.38
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$9,772.37
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,137.96
Typical High
$2,630.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,995.26
Typical High
$4,466.84
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$12,022.64
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,623.41
Typical High
$17,378.01

Where California sits

The same service costs 18.6 times more in Delaware than in Wyoming. 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.

California· 4th of 50

$10,715

DE $23,988WY $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.