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Gastrostomy/Jejunostomy Tube, Standard

New Hampshire 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?

$26.92

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $26.92 for this service. Most negotiated rates run $19.05 to $35.48.

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.

How much rates vary

Facilitymedian $38 · 10th to 90th $32 to $44Professionalmedian $26 · 10th to 90th $16 to $52
$20$50$100facility $38professional $26

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
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$18.20
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$38.02
Typical High
$44.67
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$26.92
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$47.86
Typical High
$63.10
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$19.05
Typical High
$50.12
Well Sense
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12

Where New Hampshire 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.

New Hampshire· 39th of 51

$26.92

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.