go back

Gastrostomy/Jejunostomy Tube, Standard

Texas rates for HCPCS B4087

Gastrostomy/jejunostomy tube, standard, any material, any type, each

Rates data updated July 2026.

Facilitymedian $34 · 10th–90th $32$360%50%10th90th$34Professionalmedian $31 · 10th–90th $18$360%20%10th90th$31$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$31.62
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$30.90
Typical High
$36.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$33.88
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$33.88
Typical High
$44.67
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$30.90
Typical High
$32.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$33.88
Typical High
$44.67
Providence
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.62
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$34.67
Typical High
$53.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.88
Typical High
$45.71