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Keyhole Creation Of A Small Bowel Opening

Oklahoma 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?

$10,091

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

Insurers have agreed to pay about $10,091 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $9,333 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$759$676 to $955
Facility feeThe hospital or surgery center$9,333$3,388 to $14,125

How much rates vary

Facilitymedian $9,333 · 10th to 90th $1,072 to $17,783Professionalmedian $759 · 10th to 90th $575 to $4,898
$500$1K$2K$5K$10K$20Kfacility $9,333professional $759

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
$1,348.96
Median
$4,897.79
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$707.95
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$13,182.57
Typical High
$20,417.38
BCBS Oklahoma
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$707.95
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$3,388.44
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$776.25
Typical High
$891.25
Medica
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,818.38
Typical High
$14,125.38
Medica
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$758.58
Typical High
$4,897.79
United
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$7,762.47
Typical High
$15,135.61
United
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$691.83
Typical High
$1,023.29
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$436.52
Median
$489.78
Typical High
$489.78

Where Oklahoma 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

Oklahoma· 3rd of 51

$10,091

$759 physician + $9,333 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.