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Stomach Tube - Levine Type

South Dakota 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 South Dakota, October 2026.

Insurers have agreed to pay about $2.24 for this service. Most negotiated rates run $2.00 to $2.82.

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

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1.66
Median
$1.66
Typical High
$1.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.66
Median
$2.63
Typical High
$2.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$2.82
Typical High
$2.82
Medica
Setting
Facility
Modifier
None
Typical Low
$1.82
Median
$4.47
Typical High
$4.47
Medica
Setting
Professional
Modifier
None
Typical Low
$0.76
Median
$2.00
Typical High
$3.63
Midlands
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$2.00
Typical High
$2.63
United
Setting
Professional
Modifier
None
Typical Low
$0.76
Median
$0.76
Typical High
$3.63
Wellmark
Setting
Professional
Modifier
None
Typical Low
$2.75
Median
$2.75
Typical High
$2.75

Where South Dakota 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.

South Dakota· 11th 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.