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Stomach Procedure With No Standard Listing

South Carolina 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 July 2026.

How much does Stomach Procedure With No Standard Listing cost?

$3,020

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $4,169 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 5 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$3,020$447 to $3,020
FacilityA hospital or hospital-owned outpatient department$4,169$2,692 to $7,943

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,349 to $21,878Professionalmedian $3,020 · 10th to 90th $72 to $3,020
$50$200$1K$5K$20Kfacility $4,169professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$7,762.47
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$3,019.95
Typical High
$3,019.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,570.40
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$537.03
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$4,897.79
Typical High
$8,912.51

Where South Carolina sits

The same service costs 58.9 times more in Wisconsin than in North Dakota. 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.

South Carolina· 14th of 50

$3,020

WI $5,888ND $100

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.