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Parenteral Nutrition, 10 to 51 g of Protein, Premix

North Carolina rates for HCPCS B4189

Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 g of protein, premix

Rates data updated October 2026.

How much does Parenteral Nutrition, 10 to 51 g of Protein, Premix cost?

$224

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $200 to $224.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $224 · 10th to 90th $170 to $263Professionalmedian $224 · 10th to 90th $110 to $324
$100$200$500facility $224professional $224

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
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$208.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Medcost
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$223.87
Typical High
$269.15
Medcost
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$208.93
Typical High
$588.84

Where North Carolina sits

The same service costs 3.3 times more in Iowa than in New York. 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.

North Carolina· 23rd of 51

$224

IA $282NY $85.11

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.