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Keyhole Creation Of A Small Bowel Opening

Alaska rates for HCPCS 44186

Uses a camera and instruments passed through small abdominal incisions to bring a loop of the small intestine up and create an opening for a tube through the abdominal wall. The tube allows feeding directly into the intestine, or lets pressure out when the gut above is blocked. The abdomen is not opened with a large incision.

Rates data updated October 2026.

How much does Keyhole Creation Of A Small Bowel Opening cost?

$9,852

Typical total for the visit. In Alaska, October 2026.

Insurers have agreed to pay about $9,852 for this procedure. That total is two separate charges: $2,089 to the doctor who performs it, and $7,762 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,089$933 to $2,630
Facility feeThe hospital or surgery center$7,762$5,012 to $12,023

How much rates vary

Facilitymedian $7,762 · 10th to 90th $3,548 to $23,988Professionalmedian $2,089 · 10th to 90th $646 to $3,388
$100$500$2K$10Kfacility $7,762professional $2,089

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
$2,344.23
Median
$10,000.00
Typical High
$20,417.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$3,388.44
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$446.68
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$7,762.47
Typical High
$23,988.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$891.25
Typical High
$1,949.84
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$4,897.79
Typical High
$20,892.96
Moda Health
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$2,290.87
Typical High
$3,890.45
Moda Health
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$489.78
Median
$2,398.83
Typical High
$2,398.83
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$6,025.60
Typical High
$6,918.31
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Providence
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$7,585.78
Typical High
$23,988.33
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$933.25
Typical High
$1,949.84
United
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$9,772.37
Typical High
$24,547.09
United
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$1,737.80
Typical High
$3,981.07

Where Alaska sits

The same service costs 5.3 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Alaska· 4th of 51

$9,852

$2,089 physician + $7,762 facility

CO $11,104MT $2,095

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.