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Test For Stomach Ulcer Bacteria

South Dakota rates for HCPCS 83009

A test for infection with Helicobacter pylori, the bacterium that can live in the lining of the stomach and cause ulcers and indigestion. The patient swallows a harmless labeled substance, and a sample taken afterwards is analyzed for the chemical change the bacterium produces, which shows whether the infection is active now.

Rates data updated July 2026.

Facilitymedian $129 · 10th–90th $76$1290%50%10th$129Professionalmedian $110 · 10th–90th $45$1820%10%10th90th$110$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$162.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$46.77
Typical High
$93.33
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$60.26
Typical High
$93.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61