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Gastrostomy/Jejunostomy Tube, Standard

New York 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?

$32.36

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $32.36 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.18$26.92 to $42.66
FacilityA hospital or hospital-owned outpatient department$32.36$30.90 to $32.36

How much rates vary

Facilitymedian $32 · 10th to 90th $31 to $42Professionalmedian $28 · 10th to 90th $20 to $66
$20$50$100facility $32professional $28

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
$16.98
Median
$19.95
Typical High
$22.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$2.63
Median
$2.63
Typical High
$4.57
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$19.95
Median
$19.95
Typical High
$28.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$165.96
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$53.70
Typical High
$117.49
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$38.90
Typical High
$89.13
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$32.36
Typical High
$33.11
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$31.62
Typical High
$58.88
United
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$54.95
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$37.15
Typical High
$58.88
Univera
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$32.36
Univera
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$32.36
Typical High
$33.11

Where New York 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 York· 25th of 51

$32.36

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.