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Change of Feeding Tube Into the Intestine

California rates for HCPCS 49446

Converts a feeding tube that ends in the stomach into a longer one that passes through the stomach and on into the small intestine. Live x-ray pictures and a small amount of dye guide the tip into place and confirm the position before feeding restarts. The existing opening in the abdominal wall is used, so no new incision is made.

Rates data updated July 2026.

How much does Change of Feeding Tube Into the Intestine cost?

$4,571

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $1,380 to $7,413.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,248 · 10th to 90th $955 to $13,490Professionalmedian $794 · 10th to 90th $126 to $1,380
$100.0$1.0K$10.0Kfacility $5,248professional $794

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$5,623.41
Typical High
$16,982.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,265.80
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,023.29
Typical High
$2,238.72
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$912.01
Typical High
$1,288.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$758.58
Typical High
$1,445.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$5,011.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$707.95
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,168.69
Typical High
$9,549.93

Where California sits

The same service costs 8.5 times more in Indiana than in Maine. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $4,571 · 3rd of 50
IN $5,888ME $692

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.