go back

Keyhole Creation Of A Small Bowel Opening

Washington 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?

$1,660

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $1,660 for this service. Most negotiated rates run $1,202 to $13,804.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,660 · 10th to 90th $871 to $19,953
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $1,660

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
$1,122.02
Median
$7,943.28
Typical High
$21,877.62
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$17,782.79
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,258.93
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,412.54
Typical High
$7,943.28
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,318.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$17,378.01
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$17,782.79
Typical High
$33,884.42

Where Washington 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.

Washington $1,660 · 38th 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.