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Replacement of Small-Intestine Feeding Tube

California rates for HCPCS 49451

An existing feeding tube that enters the small intestine through the skin of the abdomen is exchanged for a new one. The tube is swapped over a guide wire using live X-ray, contrast dye is injected to confirm the new tube sits correctly, and images are saved and reported. No incision or scope is needed and it is usually a short outpatient visit.

Rates data updated July 2026.

How much does Replacement of Small-Intestine Feeding Tube cost?

$4,365

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $1,202 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 $724 to $13,490Professionalmedian $603 · 10th to 90th $76 to $1,122
$100$500$2K$10Kfacility $5,248professional $603

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
$5,370.32
Typical High
$16,595.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,888.44
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,168.69
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$1,318.26
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$676.08
Typical High
$1,023.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$588.84
Typical High
$1,148.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$2,818.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$562.34
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,168.69
Typical High
$9,549.93

Where California sits

The same service costs 10.7 times more in New Jersey than in Maine. 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.

California· 4th of 50

$4,365

NJ $4,786ME $447

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.