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Gastrostomy/Jejunostomy Tube, Standard

North Carolina 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?

$30.90

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $30.90 for this service. Most negotiated rates run $30.90 to $37.15.

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.

How much rates vary

Facilitymedian $31 · 10th to 90th $21 to $34Professionalmedian $31 · 10th to 90th $17 to $63
$20$50$100facility $31professional $31

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
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$33.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Medcost
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$30.90
Typical High
$37.15
Medcost
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
United
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$37.15
Typical High
$89.13

Where North Carolina 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.

North Carolina· 29th of 51

$30.90

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.