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Gastrostomy/Jejunostomy Tube, Low-Profile

Indiana rates for HCPCS B4088

Gastrostomy/jejunostomy tube, low-profile, any material, any type, each

Rates data updated October 2026.

How much does Gastrostomy/Jejunostomy Tube, Low-Profile cost?

$35.48

Typical negotiated rate. In Indiana, 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 $38.02 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$35.48$35.48 to $38.90
FacilityA hospital or hospital-owned outpatient department$38.02$33.88 to $38.02

How much rates vary

Facilitymedian $38 · 10th to 90th $30 to $76Professionalmedian $35 · 10th to 90th $28 to $52
$20$50$100$200$500$1K$2Kfacility $38professional $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
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$38.02
Typical High
$38.02
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$38.02
Typical High
$39.81
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$35.48
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$3.55
Median
$3.55
Typical High
$4.79
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$26.30
Median
$26.30
Typical High
$38.90
CareSource
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$26.92
Typical High
$46.77
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$912.01
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$35.48
Typical High
$42.66
United
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$34.67
Typical High
$54.95

Where Indiana sits

The same service costs 7.1 times more in North Dakota than in Ohio. 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.

Indiana· 31st of 51

$35.48

ND $162OH $22.91

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.