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
What the data shows
Aetna ranks 2nd of 4 payers in Mississippi with a rate index of 100 (100 = the Mississippi market median), across 228 procedure codes.
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.
Aetna's Mississippi rates sit 38% above its own national level, the 4th highest of its 51 states.
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
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| Blue Cross Blue Shield | 112 | 1 | 59% | 673 | |
| Aetna | 100 | 2 | 27% | 608 | |
| UnitedHealthcare | 90 | 3 | 10% | 676 | |
| Cigna | 89 | 4 | 4% | 702 |
Where Aetna pays most and least against the Mississippi market
Highest above market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 306 | 211 | |
| Idaho | 152 | 491 | |
| Washington | 142 | 708 | |
| Mississippi | 138 | 608 | |
| Montana | 136 | 80 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Indiana | 80 | 698 | |
| South Dakota | 82 | 147 | |
| Florida | 82 | 758 | |
| Minnesota | 84 | 774 | |
| North Dakota | 85 | 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
- 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.
Is your Aetna contract at market in Mississippi?
Compare your negotiated rates for these codes with Mississippi medians for each payer.