What does Aetna pay for CPT 0001U in Nashville-Davidson--Murfreesboro--Franklin, TN?

The local peer median for CPT 0001U under Aetna in Nashville-Davidson--Murfreesboro--Franklin, TN is $540, based on 16 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 0001U under Aetna in Nashville-Davidson--Murfreesboro--Franklin, TN?

The P90, the top of the local market and Reddenda's target rate, is $540.

Reddenda · Rate Intelligence · Nashville-Davidson--Murfreesboro--Franklin, TN

0001U under Aetna in Nashville-Davidson--Murfreesboro--Franklin, TN

Name: Aetna rates for CPT 0001U in Nashville-Davidson--Murfreesboro--Franklin, TN
Creator: Reddenda

Local peer median $540 · Medium confidence

$540 local peer median. In the Nashville-Davidson--Murfreesboro--Franklin, TN market, Aetna pays a local peer median of $540 for CPT 0001U, based on 16 providers in Reddenda's index of Aetna's own published in-network rates. The top of the local market, the P90 target, is $540, which is the same as the median here: this payer's filed rates for this code cluster on one number, so the opportunity in this cell is reaching the median rather than exceeding it. A provider billed below the local median is being paid less than peers holding the identical Aetna contract in Nashville-Davidson--Murfreesboro--Franklin, TN for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 16 providers · 16 rate records

P10

$416.30

P25

$540

Median

$540

P75

$540

P90 (target)

$540

P10$416.30

P25$540

Median (P50)$540

P75$540

P90 target$540

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $292.60 – $576

The local peer median for CPT 0001U under Aetna in Nashville-Davidson--Murfreesboro--Franklin, TN is $540, drawn from 16 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
The bottom of the local market (P10) is $416.30 and the top (P90) is $540; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
The lowest published rate in this market is $292.60; the highest is $576.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
This benchmark is drawn from 16 individual rate records that Aetna itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
81.3% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

16 providers bill this code to this payer in this metro.

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This is the local market for CPT 0001U under Aetna in Nashville-Davidson--Murfreesboro--Franklin, TN. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.

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Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Aetna's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate. Page generated 2026-09-20 03:01 UTC; the live index is queried in real time on every request.