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Gastrostomy/Jejunostomy Tube, Standard

Utah 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?

$25.70

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $34.67 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.62$17.38 to $40.74
FacilityA hospital or hospital-owned outpatient department$34.67$17.38 to $45.71

How much rates vary

Facilitymedian $35 · 10th to 90th $17 to $51Professionalmedian $19 · 10th to 90th $17 to $48
$20$50facility $35professional $19

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
$17.38
Median
$17.38
Typical High
$17.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$30.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$45.71
Typical High
$60.26
Select Health
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$32.36
Typical High
$36.31
United
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$44.67
Typical High
$47.86

Where Utah 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.

Utah· 44th of 51

$25.70

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.