go back

Stomach Procedure With No Standard Listing

Virginia 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?

$2,512

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $2,818 from a physician practice, and about $2,455 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,818$977 to $4,571
FacilityA hospital or hospital-owned outpatient department$2,455$1,288 to $5,248

How much rates vary

Facilitymedian $2,455 · 10th to 90th $646 to $8,710Professionalmedian $2,818 · 10th to 90th $708 to $10,233
$500$1K$2K$5K$10Kfacility $2,455professional $2,818

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$4,786.30
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$2,818.38
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$8,128.31
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$933.25
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$794.33
Typical High
$5,495.41
Medcost
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Sentara
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,862.09
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$10,232.93
United
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$2,187.76
Typical High
$5,888.44

Where Virginia 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.

Virginia· 9th of 51

$2,512

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.