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Gastrostomy/Jejunostomy Tube, Standard

Virginia 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?

$29.51

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $26.30 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.30$22.39 to $36.31
FacilityA hospital or hospital-owned outpatient department$32.36$26.30 to $36.31

How much rates vary

Facilitymedian $32 · 10th to 90th $20 to $50Professionalmedian $26 · 10th to 90th $19 to $50
$20$100$500$2K$10Kfacility $32professional $26

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
$19.50
Median
$19.50
Typical High
$33.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$26.30
Typical High
$26.92
CareFirst
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$46.77
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$38.90
Typical High
$63.10
Medcost
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Medcost
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$31.62
Typical High
$36.31
Medcost
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$23.44
Sentara
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$30.20
Typical High
$69.18
Sentara
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$30.20
Typical High
$69.18
United
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$51.29
United
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$48.98
Typical High
$54.95

Where Virginia 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.

Virginia· 33rd of 51

$29.51

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.