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Enteral Formula, Modular, Nutritionally Incomplete

Minnesota 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?

$1.07

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $1.07 for this service. The price depends on where it is billed: about $1.02 from a physician practice, and about $1.12 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$1.02$0.87 to $1.12
FacilityA hospital or hospital-owned outpatient department$1.12$0.87 to $2.40

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $4Professionalmedian $1 · 10th to 90th $1 to $1
$0.5$1$2$5$10$20facility $1professional $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
$0.87
Median
$0.87
Typical High
$0.87
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$0.13
Median
$0.13
Typical High
$0.13
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.87
Median
$0.87
Typical High
$0.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.13
Median
$0.13
Typical High
$0.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$1.00
Median
$1.12
Typical High
$1.78
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$0.89
Median
$1.02
Typical High
$1.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.34
Median
$3.55
Typical High
$10.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.12
Median
$1.23
Typical High
$1.45
Health Partners
Setting
Facility
Modifier
None
Typical Low
$2.04
Median
$3.39
Typical High
$7.94
Health Partners
Setting
Professional
Modifier
None
Typical Low
$1.12
Median
$1.12
Typical High
$1.12
Medica
Setting
Facility
Modifier
None
Typical Low
$0.87
Median
$1.29
Typical High
$28.18
Medica
Setting
Professional
Modifier
None
Typical Low
$0.47
Median
$1.20
Typical High
$2.04
United
Setting
Professional
Modifier
None
Typical Low
$0.32
Median
$0.98
Typical High
$2.24

Where Minnesota 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.

Minnesota· 13th of 51

$1.07

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.