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Other Disorders of the Eye without Major Complications

Tennessee rates for MS-DRG 125

Other Disorders of the Eye without MCC

Rates data updated July 2026.

How much does Other Disorders of the Eye without Major Complications cost?

$8,710

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $8,710 for this service. Most negotiated rates run $6,457 to $13,804.

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 $8,710 · 10th to 90th $4,677 to $19,055
$2K$5K$10K$20Kfacility $8,710

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
$6,456.54
Median
$15,488.17
Typical High
$19,054.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,025.60
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$9,772.37
Typical High
$13,489.63
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$10,000.00
Typical High
$16,218.10

Where Tennessee sits

The same service costs 7.9 times more in Montana than in New Mexico. 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· 42nd of 51

$8,710

MT $48,978NM $6,166

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.