Aetna Ultrasound Rates in Nashville

Published Aetna negotiated rates for Ultrasound at 15 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$34.60

Vanderbilt University Medical Center

all plan types

Highest Rate

$1,848.98

TriStar Summit Medical Center

all plan types

Rate Spread

53x

across all plan types

Hospitals

with Aetna data

Aetna's negotiated rates for ultrasounds in Nashville span a 40x gap, from $34.60 at Vanderbilt University Medical Center to $1,369.19 at TriStar Centennial Medical Center. The lowest figure comes from a Medicaid managed care plan, and rates like these often reflect government plans rather than commercial coverage. Across 15 hospitals, the median negotiated rate is $164.66.

Why the range is so wide: Aetna negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Aetna Ultrasound Rates by Hospital

Hospital	Lowest Aetna Rate	Plan Type	Highest Rate	Plans
Vanderbilt University Medical Center	$34.60	Better Health KY Medicaid Managed Care Plan	$340.52	30
Metro Nashville General Hospital	$100.30	Medicare Managed Care Plan	$100.30	2
Ascension Saint Thomas Midtown	$103.88	1231_MEDICARE AETNA OUTPATIENT 20250101	$168.01	10
Ascension Saint Thomas Rutherford	$103.88	2956_RHTN RPTN SDTN THTN MTTN STTN MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101	$248.68	30
Ascension Saint Thomas West	$103.88	2956_RHTN RPTN SDTN THTN MTTN STTN MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101	$248.70	14
Maury Regional Medical Center	$104.90	Medicare Advantage	$843.30	8
Vanderbilt Wilson County Hospital	$112.33	Medicare Managed Care Plan	$112.33	2
TriStar Centennial Medical Center	$148.38	COMM	$1,369.19	16
TriStar Hendersonville Medical Center	$148.38	COMM	$1,328.24	16
TriStar Horizon Medical Center	$148.38	COMM	$2,085.38	18
TriStar NorthCrest Medical Center	$148.38	COMM	$1,245.09	14
TriStar Skyline Medical Center	$148.38	COMM	$1,410.54	16
TriStar Southern Hills Medical Center	$148.38	COMM	$1,345.26	18
TriStar StoneCrest Medical Center	$148.38	COMM	$751.30	14
TriStar Summit Medical Center	$148.38	COMM	$1,848.98	20

Median of all 228 published Aetna rates for Ultrasound at these hospitals: $164.66

Rates shown are Aetna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Aetna plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Reading Aetna Ultrasound Rates in Nashville

Where Aetna ultrasound rates start in Nashville. The lowest published rate is $34.60 at Vanderbilt University Medical Center. Next come Metro Nashville General Hospital at $100.30 and Ascension Saint Thomas Midtown at $103.88. At the top, TriStar Centennial Medical Center lists $1,369.19, and the page's highest rate overall is that same figure.

The 40x spread and the plan types behind it. Across 15 hospitals and 228 published rates, the median is $164.66, and the spread runs 40x from lowest to highest. The plan types beside the lowest rates look like Medicaid and Medicare plans, so the low end likely reflects those plans rather than commercial plans. Where the table shows COMM, the rate is for a commercial plan.

What an Aetna member can ask about a Nashville ultrasound. These are facility rates, and professional fees are billed separately. A member can ask:

Aetna for their own plan's negotiated rate and estimated cost share at a named hospital
Aetna whether that hospital is in network for their plan
The hospital for an estimate

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding Aetna Negotiated Rates

A negotiated rate is the price Aetna has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Aetna plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for Ultrasound in Nashville

BlueCross BlueShield of Tennessee $14.65 - $178.46 16 hospitals UnitedHealthcare $17.48 - $245.18 15 hospitals Cigna $27.04 - $2,958.38 15 hospitals Humana $30.10 - $1,042.69 13 hospitals NHC Advantage $101.84 - $792.44 12 hospitals MultiPlan/PHCS $38.37 - $3,837.10 9 hospitals

View all Ultrasound prices in Nashville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna Ultrasound in Nashville?

The lowest Aetna negotiated rate for Ultrasound in Nashville is $34.60 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,848.98 at TriStar Summit Medical Center, a 53x difference. Commercial plan rates typically fall between these extremes.

Is the Aetna negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Aetna has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Aetna for a pre-service cost estimate specific to your plan.

How many Nashville hospitals have published Aetna rates?

15 hospitals in the Nashville area have published Aetna negotiated rates for Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Aetna directly.

Are prenatal ultrasounds covered differently by Aetna?

Aetna plans often apply different cost-sharing rules for prenatal ultrasounds compared to diagnostic ultrasounds. Some may be covered under maternity benefits with different deductible and copay structures. Check your Aetna plan documents for specifics on ultrasound coverage.

We are not affiliated with Aetna or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Aetna or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.

Visit the official Aetna website: www.aetna.com