Aetna · Mississippi · commercial in-network

Aetna negotiated rates in Mississippi

How Aetna's Mississippi rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.

Aetna in Mississippi at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
100
0% above the Mississippi median
Rank in state
2 of 4
BCBS 112 · Aetna 100 · UHC 90 · Cigna 89
vs own national
138
Aetna's level vs its national median
Codes where highest
27%
of 228 codes
608 sampled providers491 TINs228 codesMedian 167% of Medicare · method

What the data shows

Generated from Mississippi and Aetna data only
1

Aetna ranks 2nd of 4 payers in Mississippi with a rate index of 100 (100 = the Mississippi market median), across 228 procedure codes.

2

Aetna has the highest median for only 27% of codes in Mississippi; Blue Cross Blue Shield leads with an index of 112 in the files analyzed.

3

Aetna's Mississippi rates sit 38% above its own national level, the 4th highest of its 51 states.

4

Largest premium over the Mississippi market: CPT 93298 (Rem interrog dev eval scrms) at 349% of market; largest discount: CPT 99457 (Rpm tx mgmt 1st 20 min) at 60%.

How the four payers compare in Mississippi

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
Blue Cross Blue Shield1121
112
59%673
Aetna1002
100
27%608
UnitedHealthcare903
90
10%676
Cigna894
89
4%702

Where Aetna pays most and least against the Mississippi market

Codes with the largest gap to the state median

Highest above market

CodeAetnaMarketGapProv.
93298
Rem interrog dev eval scrms
$168$48+249%93
36482
Endoven ther chem adhes 1st
$832$278+200%87
36465
Njx noncmpnd sclrsnt 1 vein
$558$187+198%85
93297
Rem interrog dev eval icpms
$102$40+156%92
65820
Goniotomy
$1,961$1,029+91%80
66991
Xcapsl ctrc rmvl insj 1+
$1,661$878+89%79
65756
Corneal trnspl endothelial
$2,879$1,632+76%78
43242
Egd us fine needle bx/aspir
$742$430+73%65

Furthest below market

CodeAetnaMarketGapProv.
99457
Rpm tx mgmt 1st 20 min
$28$47-40%158
99202
Office o/p new sf 15 min
$44$70-36%36
96372
Ther/proph/diag inj sc/im
$16$23-28%78
45385
Colonoscopy w/lesion removal
$511$704-28%145
92250
Fundus photography w/i&r
$46$63-27%84
92136
Ophthalmic biometry
$59$81-27%84
11104
Punch bx skin single lesion
$89$122-27%33
11102
Tangntl bx skin single les
$71$97-26%34

Where Aetna pays above and below its national level

Index vs the payer's own national median (100 = national)

Highest states

StateIndexProv.
Alaska306
211
Idaho152
491
Washington142
708
Mississippi138
608
Montana136
80

Lowest states

StateIndexProv.
Indiana80
698
South Dakota82
147
Florida82
758
Minnesota84
774
North Dakota85
211

Frequently asked questions

Does Aetna pay more or less than the other payers in Mississippi?

Aetna ranks 2nd of 4 in Mississippi with an index of 100. It is highest on 27% of codes.

Are Aetna's Mississippi rates above or below its national level?

About 38% above.

Which procedure does Aetna pay most above market in Mississippi?

CPT 93298 (Rem interrog dev eval scrms), at 349% of the Mississippi median.

Methodology

How these numbers are calculated
  • Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
  • Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
  • Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
  • Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
  • Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
  • Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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