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Keyhole Creation Of A Small Bowel Opening

California 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 July 2026.

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

$8,511

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $8,511 for this service. Most negotiated rates run $5,248 to $12,882.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9,120 · 10th to 90th $1,862 to $17,783Professionalmedian $692 · 10th to 90th $550 to $1,549
$100.0$1.0K$10.0Kfacility $9,120professional $692

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
$3,981.07
Median
$9,332.54
Typical High
$22,387.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,471.29
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$5,011.87
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$13,489.63
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,621.81
Kaiser Permanente
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$104.71
Median
$131.83
Typical High
$501.19
Kaiser Permanente
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$104.71
Median
$104.71
Typical High
$131.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$16,982.44
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$13,489.63
Typical High
$28,840.32

Where California sits

The same service costs 28.2 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $8,511 · 6th of 50
IN $18,197ND $646

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.