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Weight-Loss Surgery With Duodenal Switch

Iowa 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?

$4,365

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $2,692 to $6,761.

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.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,950 to $7,943Professionalmedian $4,365 · 10th to 90th $1,820 to $10,715
$200$500$1K$2K$5K$10K$20Kfacility $4,365professional $4,365

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
$3,162.28
Median
$6,456.54
Typical High
$11,481.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$4,073.80
Typical High
$10,964.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,388.44
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,365.16
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,897.79
Typical High
$7,585.78

Where Iowa 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.

Iowa· 22nd of 50

$4,365

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.