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Gastrostomy/Jejunostomy Tube, Low-Profile

Utah 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?

$28.84

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $38.90 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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$25.70$17.38 to $44.67
FacilityA hospital or hospital-owned outpatient department$38.90$17.38 to $50.12

How much rates vary

Facilitymedian $39 · 10th to 90th $17 to $56Professionalmedian $26 · 10th to 90th $17 to $56
$20$50facility $39professional $26

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
$17.38
Median
$17.38
Typical High
$17.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$33.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$50.12
Typical High
$66.07
Select Health
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$38.90
Typical High
$43.65
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$45.71
Typical High
$56.23

Where Utah 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.

Utah· 44th of 51

$28.84

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.