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Gastrostomy/Jejunostomy Tube, Standard

South Dakota 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?

$36.31

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $36.31 for this service. Most negotiated rates run $31.62 to $44.67.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $68 · 10th to 90th $43 to $68Professionalmedian $35 · 10th to 90th $11 to $46
$20$50$100facility $68professional $35

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
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$45.71
Typical High
$45.71
Medica
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$67.61
Typical High
$67.61
Medica
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$31.62
Typical High
$58.88
Midlands
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$41.69
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$12.30
Typical High
$58.88
Wellmark
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66

Where South Dakota 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.

South Dakota· 12th of 51

$36.31

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.