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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Tennessee 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?

$69.18

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $85.11 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$69.18$58.88 to $69.18
FacilityA hospital or hospital-owned outpatient department$85.11$85.11 to $85.11

How much rates vary

Facilitymedian $85 · 10th to 90th $85 to $123Professionalmedian $69 · 10th to 90th $27 to $72
$0.1$1$10$100facility $85professional $69

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$69.18
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$69.18
Typical High
$131.83

Where Tennessee 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.

Tennessee· 31st of 51

$69.18

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.