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Gastrostomy/Jejunostomy Tube, Standard

Illinois rates for HCPCS B4087

Gastrostomy/jejunostomy tube, standard, any material, any type, each

Rates data updated October 2026.

How much does Gastrostomy/Jejunostomy Tube, Standard cost?

$33.88

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $69.18 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.88$28.84 to $33.88
FacilityA hospital or hospital-owned outpatient department$69.18$45.71 to $178

How much rates vary

Facilitymedian $69 · 10th to 90th $41 to $275Professionalmedian $34 · 10th to 90th $23 to $54
$20$50$100$200$500facility $69professional $34

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$31.62
Typical High
$33.88
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$81.28
Typical High
$323.59
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$33.88
Typical High
$33.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Hally Health
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$42.66
Typical High
$87.10
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$33.11
Typical High
$61.66

Where Illinois sits

The same service costs 2.5 times more in Iowa than in New Jersey. 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.

Illinois· 21st of 51

$33.88

IA $45.71NJ $18.62

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.