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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 July 2026.

How much does Gastrostomy/Jejunostomy Tube, Standard cost?

$30.90

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $33.11 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.90$30.90 to $31.62
FacilityA hospital or hospital-owned outpatient department$33.11$33.11 to $162

How much rates vary

Facilitymedian $33 · 10th to 90th $31 to $347Professionalmedian $31 · 10th to 90th $19 to $50
$20.0$50.0$100.0$200.0$500.0facility $33professional $31

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
$30.90
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$30.90
Typical High
$50.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$33.88
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$38.02
Typical High
$72.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where North Carolina sits

The same service costs 2.9 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $30.90 · 32nd of 51
MT $53.70WV $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.