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Gastrostomy/Jejunostomy Tube, Standard

Texas 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?

$30.20

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $33.88 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$26.92 to $34.67
FacilityA hospital or hospital-owned outpatient department$33.88$30.90 to $36.31

How much rates vary

Facilitymedian $34 · 10th to 90th $30 to $45Professionalmedian $30 · 10th to 90th $19 to $39
$20$50facility $34professional $30

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
$30.20
Median
$30.90
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$30.20
Typical High
$36.31
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Moda Health
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$33.88
Typical High
$44.67
Moda Health
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$30.20
Typical High
$36.31
Molina
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$81.28
Providence
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$33.88
Typical High
$44.67
Providence
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
United
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$42.66
United
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$35.48
Typical High
$53.70
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$33.88

Where Texas 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.

Texas· 31st of 51

$30.20

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.