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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Nebraska 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?

$83.18

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $1,549 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$69.18$41.69 to $93.33
FacilityA hospital or hospital-owned outpatient department$1,549$170 to $2,042

How much rates vary

Facilitymedian $1,549 · 10th to 90th $83 to $3,548Professionalmedian $69 · 10th to 90th $32 to $158
$50$100$200$500$1K$2Kfacility $1,549professional $69

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$83.18
Typical High
$83.18
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$97.72
Typical High
$120.23
Medica
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$147.91
Typical High
$389.05
Medica
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$69.18
Typical High
$190.55
Midlands
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$93.33
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$54.95
Typical High
$194.98

Where Nebraska 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.

Nebraska· 10th of 51

$83.18

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.