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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

North Carolina rates for HCPCS B4178

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

Rates data updated October 2026.

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

$72.44

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $72.44 for this service. Most negotiated rates run $64.57 to $72.44.

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.

How much rates vary

Facilitymedian $72 · 10th to 90th $55 to $85Professionalmedian $72 · 10th to 90th $35 to $105
$50$100$200facility $72professional $72

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$67.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Medcost
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$72.44
Typical High
$87.10
Medcost
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$67.61
Typical High
$190.55

Where North Carolina sits

The same service costs 5.5 times more in Iowa than in Kansas. 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.

North Carolina· 24th of 51

$72.44

IA $91.20KS $16.60

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.