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Enteral Formula, Modular, Nutritionally Incomplete

Texas 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?

$0.85

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $0.85 for this service. The price depends on where it is billed: about $0.85 from a physician practice, and about $0.93 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.85$0.78 to $1.02
FacilityA hospital or hospital-owned outpatient department$0.93$0.85 to $1.23

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $19Professionalmedian $1 · 10th to 90th $1 to $6
$0.5$1$2$5$10$20$50facility $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
$0.83
Median
$0.85
Typical High
$0.85
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.66
Median
$0.83
Typical High
$0.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.12
Median
$0.13
Typical High
$0.14
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.08
Median
$0.09
Typical High
$0.10
Ambetter
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$0.78
Median
$0.78
Typical High
$0.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$0.81
Median
$0.93
Typical High
$19.05
Moda Health
Setting
Professional
Modifier
None
Typical Low
$0.66
Median
$0.83
Typical High
$0.95
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.12
Median
$0.13
Typical High
$0.14
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.08
Median
$0.09
Typical High
$0.10
Molina
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$81.28
Providence
Setting
Facility
Modifier
None
Typical Low
$0.81
Median
$0.93
Typical High
$19.05
Providence
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
United
Setting
Professional
Modifier
None
Typical Low
$0.62
Median
$0.93
Typical High
$1.38
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$0.74
Median
$0.74
Typical High
$0.93

Where Texas 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.

Texas· 36th of 51

$0.85

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.