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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Kentucky rates for HCPCS B4178

Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix

Rates data updated July 2026.

How much does Parenteral Nutrition, Amino Acid over 8.5%, Home Mix cost?

$54.95

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $46.77 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 5 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$56.23$46.77 to $79.43
FacilityA hospital or hospital-owned outpatient department$46.77$46.77 to $83.18

How much rates vary

Facilitymedian $47 · 10th to 90th $47 to $115Professionalmedian $56 · 10th to 90th $30 to $85
$50$100$200facility $47professional $56

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
$46.77
Median
$46.77
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$69.18
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$54.95
Typical High
$54.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$407.38
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$89.13

Where Kentucky sits

The same service costs 3.5 times more in Montana than in Delaware. 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.

Kentucky· 43rd of 51

$54.95

MT $102DE $29.51

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.