Aetna negotiated rates in Tennessee
How Aetna's Tennessee rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Aetna in Tennessee at a glance
What the data shows
Aetna ranks 4th of 4 payers in Tennessee with a rate index of 82 (100 = the Tennessee market median), across 228 procedure codes.
Aetna has the highest median for only 8% of codes in Tennessee; UnitedHealthcare leads with an index of 112 in the files analyzed.
Aetna's Tennessee rates sit 0% below its own national level, the 26th highest of its 51 states.
Largest premium over the Tennessee market: CPT 88342 (Imhchem/imcytchm 1st antb) at 147% of market; largest discount: CPT 99487 (Cplx chrnc care 1st 60 min) at 42%.
How the four payers compare in Tennessee
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 112 | 1 | 58% | 775 | |
| Blue Cross Blue Shield | 103 | 2 | 18% | 844 | |
| Cigna | 97 | 3 | 16% | 850 | |
| Aetna | 82 | 4 | 8% | 767 |
Where Aetna pays most and least against the Tennessee market
Highest above market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 88342 Imhchem/imcytchm 1st antb | $87 | $59 | +47% | 79 |
| 88312 Special stains group 1 | $92 | $64 | +43% | 138 |
| 70450 Ct head/brain w/o dye | $275 | $219 | +26% | 91 |
| 88305 Tissue exam by pathologist | $60 | $49 | +22% | 156 |
| 88313 Special stains group 2 | $66 | $55 | +20% | 70 |
| 77280 Ther rad simulaj field smpl | $308 | $260 | +19% | 65 |
| 27236 Treat thigh fracture | $2,424 | $2,158 | +12% | 77 |
| 65820 Goniotomy | $992 | $892 | +11% | 81 |
Furthest below market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 99487 Cplx chrnc care 1st 60 min | $48 | $114 | -58% | 32 |
| 77080 Dxa bone density axial | $36 | $64 | -44% | 91 |
| 45384 Colonoscopy w/lesion removal | $311 | $550 | -44% | 62 |
| 77049 Mri breast c-+ w/cad bi | $331 | $567 | -42% | 88 |
| 99490 Chrnc care mgmt staff 1st 20 | $34 | $58 | -41% | 234 |
| 93229 Remote 30 day ecg tech supp | $645 | $1,060 | -39% | 42 |
| 93298 Rem interrog dev eval scrms | $28 | $46 | -39% | 90 |
| 74174 Cta abd&plvs w/contrast | $384 | $613 | -37% | 89 |
Where Aetna pays above and below its national level
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 306 | 211 | |
| Idaho | 152 | 491 | |
| Washington | 142 | 708 | |
| Mississippi | 138 | 608 | |
| Montana | 136 | 80 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Indiana | 80 | 698 | |
| South Dakota | 82 | 147 | |
| Florida | 82 | 758 | |
| Minnesota | 84 | 774 | |
| North Dakota | 85 | 211 |
Frequently asked questions
Does Aetna pay more or less than the other payers in Tennessee?
Aetna ranks 4th of 4 in Tennessee with an index of 82. It is highest on 8% of codes.
Are Aetna's Tennessee rates above or below its national level?
About 0% below.
Which procedure does Aetna pay most above market in Tennessee?
CPT 88342 (Imhchem/imcytchm 1st antb), at 147% of the Tennessee median.
Methodology
- Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
- Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
- Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
- Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
- Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
- Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.
Is your Aetna contract at market in Tennessee?
Compare your negotiated rates for these codes with Tennessee medians for each payer.