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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Virginia 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?

$79.43

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $83.18 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 7 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$51.29 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$83.18 to $85.11

How much rates vary

Facilitymedian $83 · 10th to 90th $56 to $89Professionalmedian $69 · 10th to 90th $43 to $110
$50$200$1K$5Kfacility $83professional $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
$51.29
Median
$51.29
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$89.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$125.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$56.23
Typical High
$87.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$42.66
Sentara
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$61.66
Typical High
$114.82

Where Virginia 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.

Virginia· 17th of 51

$79.43

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.