go back

Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

South Dakota 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?

$93.33

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $81.28 to $110.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $115 · 10th to 90th $60 to $224Professionalmedian $93 · 10th to 90th $79 to $120
$50$100$200facility $115professional $93

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. 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
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$81.28
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$83.18
Typical High
$141.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$79.43
Typical High
$131.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where South Dakota 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.

South Dakota· 2nd of 51

$93.33

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.