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Synthetic Mesh Reinforcement Of The Abdominal Wall

Tennessee rates for HCPCS 0437T

Places a sheet of synthetic mesh to strengthen the tough tissue layer of the abdominal wall. It is performed alongside a primary operation and charged in addition to it. The primary procedure is charged separately.

Rates data updated July 2026.

How much does Synthetic Mesh Reinforcement Of The Abdominal Wall cost?

$295

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $1,259 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 5 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$288$257 to $324
FacilityA hospital or hospital-owned outpatient department$1,259$468 to $2,399

How much rates vary

Facilitymedian $1,259 · 10th to 90th $151 to $3,981Professionalmedian $288 · 10th to 90th $214 to $407
$100$200$500$1K$2K$5K$10Kfacility $1,259professional $288

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
$575.44
Median
$2,290.87
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$13,489.63
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$707.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$741.31
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$354.81
Typical High
$575.44

Where Tennessee sits

The same service costs 6.9 times more in California than in Kentucky. 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.

Tennessee· 38th of 51

$295

CA $1,778KY $257

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.