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Replacement of a Stomach or Colon Feeding Tube

South Dakota rates for HCPCS 49450

A provider replaces an existing tube that passes through the skin into the stomach or large intestine, using imaging guidance to confirm the new tube is positioned correctly. This is typically done when a tube has become worn, blocked, or dislodged, using the existing tract rather than creating a new one. Imaging with contrast helps verify placement before the tube is used again.

Rates data updated July 2026.

How much does Replacement of a Stomach or Colon Feeding Tube cost?

$1,279

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,279 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $676 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$603$107 to $955
Facility feeThe hospital or surgery center$676$120 to $1,413

How much rates vary

Facilitymedian $676 · 10th to 90th $72 to $2,291Professionalmedian $603 · 10th to 90th $60 to $1,380
$50$100$200$500$1K$2Kfacility $676professional $603

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
$66.07
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$213.80
Typical High
$741.31
Avera
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$512.86
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$4,265.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$1,348.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$812.83
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$562.34
Typical High
$1,348.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$1,445.44

Where South Dakota sits

The same service costs 9.4 times more in California than in Maryland. 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

South Dakota· 41st of 50

$1,279

$603 physician + $676 facility

CA $5,467MD $584

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.