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Parenteral Nutrition, 74 to 100 g of Protein, Premix

North Carolina rates for HCPCS B4197

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 g of protein - premix

Rates data updated October 2026.

How much does Parenteral Nutrition, 74 to 100 g of Protein, Premix cost?

$355

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $355 for this service. Most negotiated rates run $309 to $355.

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 $355 · 10th to 90th $269 to $417Professionalmedian $355 · 10th to 90th $170 to $513
$200$500$1Kfacility $355professional $355

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
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Medcost
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$354.81
Typical High
$426.58
Medcost
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$323.59
Typical High
$912.01

Where North Carolina sits

The same service costs 3.2 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· 22nd of 51

$355

IA $447NY $141

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.