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Pediatric Hydrolyzed or Amino Acid Enteral Formula

Minnesota rates for HCPCS B4161

Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Rates data updated July 2026.

How much does Pediatric Hydrolyzed or Amino Acid Enteral Formula cost?

$3.24

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $3.24 for this service. The price depends on where it is billed: about $3.09 from a physician practice, and about $6.17 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.09$2.24 to $3.55
FacilityA hospital or hospital-owned outpatient department$6.17$3.55 to $15.85

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $513Professionalmedian $3 · 10th to 90th $2 to $4
$1$10$100$1Kfacility $6professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.55
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.55
Typical High
$3.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$7.41
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.63
Typical High
$2.88
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$8.13
Typical High
$15.85
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$3.24
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$2.14
United
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$2.14
Typical High
$2.40

Where Minnesota sits

The same service costs 3.0 times more in Hawaii than in North Carolina. 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· 2nd of 51

$3.24

HI $3.39NC $1.12

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.