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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

North Dakota 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?

$79.43

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $63.10 to $93.33.

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 $60 · 10th to 90th $60 to $102Professionalmedian $81 · 10th to 90th $50 to $126
$50$100facility $60professional $81

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
$60.26
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$60.26
Typical High
$83.18
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$81.28
Typical High
$93.33
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$85.11
Median
$97.72
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$120.23
Medica
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$181.97
Medica
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$120.23
Typical High
$131.83
United
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$69.18
Typical High
$131.83

Where North Dakota 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 Dakota· 19th of 51

$79.43

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.