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Stomach Procedure With No Standard Listing

Rhode Island rates for HCPCS 43999

Covers an operation or procedure on the stomach that does not match any of the standard named services, typically because the technique is new, rare, or performed in an unusual way. A written report describing exactly what was done accompanies it. It is not a specific operation in itself, but a placeholder for stomach surgery that has no established description.

Rates data updated October 2026.

How much does Stomach Procedure With No Standard Listing cost?

$1,445

Typical facility fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $1,445 for this service. Most negotiated rates run $794 to $2,089.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,660 · 10th to 90th $676 to $4,074Professionalmedian $759 · 10th to 90th $251 to $955
$100$200$500$1K$2K$5Kfacility $1,660professional $759

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$758.58
Typical High
$954.99
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,737.80
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$676.08
Typical High
$1,202.26
United
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,445.44
Typical High
$5,011.87
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Rhode Island
Setting
Professional
Modifier
ET · Emergency service
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$42,657.95

Where Rhode Island sits

The same service costs 177.8 times more in Oklahoma than in Hawaii. 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.

Rhode Island· 24th of 51

$1,445

OK $5,248HI $29.51

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.