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Gastrostomy/Jejunostomy Tube, Standard

Nebraska 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?

$31.62

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $646 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.84$17.38 to $44.67
FacilityA hospital or hospital-owned outpatient department$646$44.67 to $891

How much rates vary

Facilitymedian $646 · 10th to 90th $33 to $1,259Professionalmedian $29 · 10th to 90th $12 to $81
$20$50$100$200$500$1Kfacility $646professional $29

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
$31.62
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$31.62
Typical High
$31.62
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$831.76
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$44.67
Typical High
$45.71
Medica
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$44.67
Typical High
$158.49
Medica
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$28.84
Typical High
$104.71
Midlands
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$46.77
Typical High
$51.29
United
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$25.70
Typical High
$107.15

Where Nebraska 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.

Nebraska· 26th of 51

$31.62

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.