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Physician Documentation of DME Face-to-Face Visit

Tennessee rates for HCPCS G0454

Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist

Rates data updated July 2026.

How much does Physician Documentation of DME Face-to-Face Visit cost?

$8.71

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $15.49 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 6 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$8.71$7.59 to $9.55
FacilityA hospital or hospital-owned outpatient department$15.49$11.75 to $75.86

How much rates vary

Facilitymedian $15 · 10th to 90th $10 to $85Professionalmedian $9 · 10th to 90th $7 to $11
$10$20$50facility $15professional $9

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
$15.49
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.71
Typical High
$10.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$13.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.02
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$12.30
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.23
Typical High
$17.38

Where Tennessee sits

The same service costs 2.0 times more in Minnesota than in Louisiana. 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· 29th of 51

$8.71

MN $15.85LA $7.94

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.