go back

Pessary, Reusable, Rubber

Tennessee rates for HCPCS A4561

Pessary, reusable, rubber, any type

Rates data updated July 2026.

How much does Pessary, Reusable, Rubber cost?

$18.20

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $26.30 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$18.20$14.79 to $24.55
FacilityA hospital or hospital-owned outpatient department$26.30$16.60 to $135

How much rates vary

Facilitymedian $26 · 10th to 90th $14 to $135Professionalmedian $18 · 10th to 90th $10 to $30
$10$20$50$100facility $26professional $18

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
$14.79
Median
$16.60
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$18.20
Typical High
$30.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$15.85
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$13.80
Typical High
$18.20

Where Tennessee sits

The same service costs 5.1 times more in Hawaii than in Colorado. 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· 36th of 51

$18.20

HI $64.57CO $12.59

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.