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Gastrostomy/Jejunostomy Tube, Low-Profile

Pennsylvania rates for HCPCS B4088

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

Rates data updated July 2026.

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

$27.54

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $41.69 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$27.54$22.91 to $35.48
FacilityA hospital or hospital-owned outpatient department$41.69$22.91 to $155

How much rates vary

Facilitymedian $42 · 10th to 90th $23 to $245Professionalmedian $28 · 10th to 90th $16 to $71
$100.0$1.0K$10.0Kfacility $42professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$27.54
Typical High
$177.83
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$147.91
Typical High
$213.80
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$41.69
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$25.12
Typical High
$35.48
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$165.96
Typical High
$295.12
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$36.31
Typical High
$57.54

Where Pennsylvania sits

The same service costs 9.1 times more in North Dakota than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $27.54 · 46th of 51
ND $174RI $19.05

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.