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Replacement of Small-Intestine Feeding Tube

Washington 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?

$1,148

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $219 to $2,239.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,148 · 10th to 90th $135 to $4,467
$100$200$500$1K$2K$5K$10Kfacility $1,148

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
$194.98
Median
$2,511.89
Typical High
$9,332.54
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,884.03
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$562.34
Typical High
$1,202.26
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$812.83
Typical High
$1,905.46
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$1,380.38
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$912.01
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,691.53
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,818.38
Typical High
$5,370.32

Where Washington 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.

Washington· 29th of 50

$1,148

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.