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Gastrostomy/Jejunostomy Tube, Standard

Washington 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?

$35.48

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $48.98 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$35.48$32.36 to $35.48
FacilityA hospital or hospital-owned outpatient department$48.98$36.31 to $63.10

How much rates vary

Facilitymedian $49 · 10th to 90th $32 to $71Professionalmedian $35 · 10th to 90th $19 to $65
$20$50$100facility $49professional $35

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
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$38.90
Typical High
$64.57
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$36.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Molina
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$38.90
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$36.31
Typical High
$36.31
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$53.70
Typical High
$85.11
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$50.12
Typical High
$64.57
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$51.29
Typical High
$100.00
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$56.23

Where Washington 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.

Washington· 16th of 51

$35.48

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.