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Stomach Tube - Levine Type

Utah rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated October 2026.

How much does Stomach Tube - Levine Type cost?

$1.66

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $1.66 for this service. The price depends on where it is billed: about $1.66 from a physician practice, and about $2.14 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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$1.66$1.20 to $2.57
FacilityA hospital or hospital-owned outpatient department$2.14$1.20 to $2.75

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $3Professionalmedian $2 · 10th to 90th $1 to $3
$1$2facility $2professional $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
$1.20
Median
$1.20
Typical High
$1.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.20
Median
$1.20
Typical High
$1.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.17
Median
$1.17
Typical High
$1.70
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$2.51
Median
$2.75
Typical High
$3.63
Select Health
Setting
Facility
Modifier
None
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$1.41
Median
$1.70
Typical High
$2.19
United
Setting
Professional
Modifier
None
Typical Low
$1.12
Median
$2.69
Typical High
$3.09

Where Utah 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.

Utah· 43rd of 51

$1.66

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.