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Keyhole Creation Of A Small Bowel Opening

Iowa 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?

$2,455

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $2,455 for this service. Most negotiated rates run $1,096 to $6,761.

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.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $891 to $13,490Professionalmedian $1,445 · 10th to 90th $603 to $2,512
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $5,370professional $1,445

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
$1,071.52
Median
$5,370.32
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,348.96
Typical High
$2,570.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,412.54
Typical High
$13,489.63
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$1,778.28
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$10,471.29
Typical High
$15,848.93

Where Iowa 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.

Iowa $2,455 · 34th 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.