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Parenteral Nutrition, 52 to 73 g of Protein, Premix

Virginia rates for HCPCS B4193

Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 g of protein, premix

Rates data updated July 2026.

How much does Parenteral Nutrition, 52 to 73 g of Protein, Premix cost?

$316

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $331 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$275$204 to $324
FacilityA hospital or hospital-owned outpatient department$331$331 to $339

How much rates vary

Facilitymedian $331 · 10th to 90th $219 to $355Professionalmedian $275 · 10th to 90th $170 to $437
$200$500$1K$2K$5K$10Kfacility $331professional $275

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
$204.17
Median
$204.17
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$501.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$346.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$169.82
Sentara
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$331.13
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$467.74

Where Virginia sits

The same service costs 2.7 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· 18th of 51

$316

MT $407DE $151

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.