go back

Enteral Formula, Modular, Nutritionally Incomplete

Illinois rates for HCPCS B4155

Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit

Rates data updated October 2026.

How much does Enteral Formula, Modular, Nutritionally Incomplete cost?

$0.87

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $0.87 for this service. The price depends on where it is billed: about $0.87 from a physician practice, and about $1.82 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.87$0.76 to $0.95
FacilityA hospital or hospital-owned outpatient department$1.82$1.17 to $4.90

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $9Professionalmedian $1 · 10th to 90th $1 to $2
$0.5$2$10$50facility $2professional $1

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
$0.76
Median
$0.87
Typical High
$0.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.60
Median
$0.85
Typical High
$0.89
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.09
Median
$0.13
Typical High
$0.14
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.06
Median
$0.09
Typical High
$0.09
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1.17
Median
$2.14
Typical High
$8.91
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$0.71
Median
$0.87
Typical High
$0.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Hally Health
Setting
Professional
Modifier
None
Typical Low
$0.85
Median
$1.07
Typical High
$8.51
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1.12
Median
$1.12
Typical High
$1.12
United
Setting
Facility
Modifier
None
Typical Low
$0.87
Median
$0.87
Typical High
$0.87
United
Setting
Professional
Modifier
None
Typical Low
$0.50
Median
$0.87
Typical High
$1.74

Where Illinois sits

The same service costs 3.6 times more in Florida than in Alabama. 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.

Illinois· 30th of 51

$0.87

FL $1.70AL $0.47

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.