go back

Weight-Loss Surgery With Duodenal Switch

North Carolina 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?

$2,570

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $1,950 to $3,467.

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 $2,570 · 10th to 90th $1,698 to $7,413Professionalmedian $3,020 · 10th to 90th $3,020 to $3,020
$500$1K$2K$5K$10K$20Kfacility $2,570professional $3,020

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,162.28
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,398.83
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$6,456.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$12,022.64
Typical High
$12,022.64
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26

Where North Carolina 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.

North Carolina· 41st of 50

$2,570

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.