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Change of Feeding Tube Into the Intestine

Delaware 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 October 2026.

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

$1,241

Typical total for the visit. In Delaware, October 2026.

Insurers have agreed to pay about $1,241 for this procedure. That total is two separate charges: $447 to the doctor who performs it, and $794 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$447$148 to $891
Facility feeThe hospital or surgery center$794$550 to $1,445

How much rates vary

Facilitymedian $794 · 10th to 90th $417 to $2,399Professionalmedian $447 · 10th to 90th $138 to $1,148
$100$200$500$1K$2K$5Kfacility $794professional $447

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
$144.54
Median
$851.14
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$645.65
Typical High
$912.01
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$107.15
Median
$165.96
Typical High
$676.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$1,122.02
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$323.59
Typical High
$1,148.15
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,981.07
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$616.60
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$346.74
Typical High
$1,174.90

Where Delaware sits

The same service costs 5.0 times more in Colorado than in Maryland. 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.

Physician feeFacility fee

Delaware· 50th of 51

$1,241

$447 physician + $794 facility

CO $4,941MD $994

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.