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Stomach Tube - Levine Type

South Dakota rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

How much does Stomach Tube - Levine Type cost?

$2.24

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2.24 for this service. Most negotiated rates run $2.19 to $2.63.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $4Professionalmedian $2 · 10th to 90th $2 to $3
$1$2$5facility $3professional $2

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$1.66
Typical High
$1.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.63
Typical High
$2.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$3.24
Typical High
$7.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$2.14
Typical High
$3.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.24
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$2.04
Typical High
$3.63
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.75

Where South Dakota sits

The same service costs 2.6 times more in Montana than in West Virginia. 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.

South Dakota· 6th of 51

$2.24

MT $3.02WV $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.