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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 October 2026.

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

$83.18

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $79.43 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 $138 · 10th to 90th $78 to $138Professionalmedian $83 · 10th to 90th $28 to $120
$50$100$200facility $138professional $83

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
$60.26
Median
$81.28
Typical High
$83.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$107.15
Typical High
$120.23
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$138.04
Typical High
$138.04
Medica
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$63.10
Typical High
$131.83
Midlands
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$32.36
Typical High
$131.83
Wellmark
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where South 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.

South Dakota· 13th 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.