go back

Inborn and Other Disorders of Metabolism

Tennessee rates for MS-DRG 642

Inborn and Other Disorders of Metabolism

Rates data updated July 2026.

How much does Inborn and Other Disorders of Metabolism cost?

$15,488

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $9,333 to $25,704.

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 $15,488 · 10th to 90th $6,761 to $35,481
$2K$5K$10K$20K$50Kfacility $15,488

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
$11,748.98
Median
$28,840.32
Typical High
$35,481.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$7,943.28
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$17,782.79
Typical High
$23,988.33
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$51,286.14
Typical High
$51,286.14
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$18,620.87
Typical High
$29,512.09

Where Tennessee sits

The same service costs 4.4 times more in Montana than in Mississippi. 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

$15,488

MT $48,978MS $11,220

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.