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Gastrostomy/Jejunostomy Tube, Low-Profile

South Dakota 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?

$42.66

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $42.66 for this service. Most negotiated rates run $37.15 to $52.48.

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.

How much rates vary

Facilitymedian $72 · 10th to 90th $43 to $72Professionalmedian $42 · 10th to 90th $13 to $54
$20$50$100facility $72professional $42

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$43.65
Typical High
$43.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$53.70
Typical High
$53.70
Medica
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$72.44
Typical High
$72.44
Medica
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$37.15
Typical High
$69.18
Midlands
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$48.98
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$14.45
Typical High
$69.18
Wellmark
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54

Where South Dakota 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.

South Dakota· 11th of 51

$42.66

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.