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Gastrostomy/Jejunostomy Tube, Low-Profile

Montana 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?

$50.12

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $54.95 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$47.86$43.65 to $79.43
FacilityA hospital or hospital-owned outpatient department$54.95$46.77 to $2,512

How much rates vary

Facilitymedian $55 · 10th to 90th $44 to $2,570Professionalmedian $48 · 10th to 90th $34 to $85
$20$50$100$200$500$1K$2Kfacility $55professional $48

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
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$54.95
Typical High
$2,570.40
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$47.86
Typical High
$2,630.27
Providence
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Providence
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$46.77
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$52.48
Typical High
$57.54

Where Montana 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.

Montana· 3rd of 51

$50.12

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.