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Stomach Tube - Levine Type

Minnesota rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated October 2026.

How much does Stomach Tube - Levine Type cost?

$2.24

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $2.24 for this service. The price depends on where it is billed: about $2.24 from a physician practice, and about $2.69 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.24$2.00 to $2.75
FacilityA hospital or hospital-owned outpatient department$2.69$2.00 to $4.68

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $8Professionalmedian $2 · 10th to 90th $2 to $3
$1$2$5$10$20facility $3professional $2

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
$2.00
Median
$2.00
Typical High
$2.00
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$0.30
Median
$0.30
Typical High
$0.30
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$0.20
Median
$0.20
Typical High
$0.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.30
Median
$0.30
Typical High
$0.30
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.20
Median
$0.20
Typical High
$0.20
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$2.45
Median
$2.69
Typical High
$4.37
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$2.51
Typical High
$2.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.68
Median
$7.08
Typical High
$19.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$2.45
Typical High
$2.88
Health Partners
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$6.76
Typical High
$15.85
Health Partners
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Medica
Setting
Facility
Modifier
None
Typical Low
$2.00
Median
$2.69
Typical High
$3.98
Medica
Setting
Professional
Modifier
None
Typical Low
$1.12
Median
$2.69
Typical High
$4.79
United
Setting
Professional
Modifier
None
Typical Low
$0.76
Median
$2.24
Typical High
$5.37

Where Minnesota sits

The same service costs 33.1 times more in Kansas than in Alabama. 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.

Minnesota· 13th of 51

$2.24

KS $38.90AL $1.17

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.