Internal medicine · Mississippi

Internal medicine commercial reimbursement in Mississippi

How Mississippi internal medicine rates compare with the national market.

Internal medicine in Mississippi

25 codes · 101 sampled providers
Index vs national
78
22% below
Rank among states
47 of 51
1 = highest
Codes above national
3 of 25
median code at 78%
Providers
101
sampled

What the data shows

1

Internal medicine ranks 47th of 51 states in Mississippi with an index of 78 (100 = the specialty's national median), across 25 codes and 101 sampled providers.

2

Of the 25 internal medicine codes with enough data in Mississippi, 3 pay above the national median and 22 below; the typical code sits at 78% of the national median.

3

Largest premium over the national median: CPT 45385 (Colonoscopy w/lesion removal) at 113%; largest discount: CPT 99454 (Rem mntr physiol param 16-30) at 64%.

4

Measured against Medicare, Mississippi internal medicine rates have a median of 94% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeMississippNationalGapProv.
45385
Colonoscopy w/lesion removal
$606$535+13%101
20610
Drain/inj joint/bursa w/o us
$88$83+5%101
93000
Electrocardiogram complete
$26$25+2%101
93306
Tte w/doppler complete
$311$319-2%101
96372
Ther/proph/diag inj sc/im
$23$24-5%101

Lowest vs national

CodeMississippNationalGapProv.
99454
Rem mntr physiol param 16-30
$49$76-36%100
99349
Home/res vst est mod mdm 40
$125$174-28%99
99487
Cplx chrnc care 1st 60 min
$89$121-27%99
99350
Home/res vst est high mdm 60
$182$247-26%100
99348
Home/res vst est low mdm 30
$81$109-26%99

All internal medicine codes in Mississippi

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeMississippiNationalGap% of MedicareProvidersTINsLevel
CPT 45385
Colonoscopy w/lesion removal
$606$535+13%271%101204
CPT 20610
Drain/inj joint/bursa w/o us
$88$83+5%127%101206
CPT 93000
Electrocardiogram complete
$26$25+2%166%101203
CPT 93306
Tte w/doppler complete
$311$319-3%158%101203
CPT 96372
Ther/proph/diag inj sc/im
$23$24-5%149%101203
CPT 78452
Ht muscle image spect mult
$578$621-7%135%101200
CPT 90960
Esrd srv 4 visits p mo 20+
$399$453-12%107%99198
CPT 99457
Rpm tx mgmt 1st 20 min
$45$53-15%87%100200
CPT 93880
Extracranial bilat study
$230$285-20%122%101203
CPT 99203
Office o/p new low 30 min
$99$125-21%85%101207
CPT 99212
Office o/p est sf 10 min
$41$52-21%69%101206
CPT 99495
Transj care mgmt mod f2f 14d
$167$211-21%76%101202
CPT 99496
Transj care mgmt high f2f 7d
$226$291-22%76%101202
CPT 99204
Office o/p new mod 45 min
$152$196-23%86%101210
CPT 99490
Chrnc care mgmt staff 1st 20
$47$61-23%71%101200
CPT 99497
Advncd care plan 30 min
$82$108-24%95%99195
CPT 99205
Office o/p new hi 60 min
$194$256-24%82%101206
CPT 99214
Office o/p est mod 30 min
$101$134-24%74%101208
CPT 99215
Office o/p est hi 40 min
$141$188-25%73%101208
CPT 99213
Office o/p est low 20 min
$69$92-25%72%101207
CPT 99348
Home/res vst est low mdm 30
$81$109-26%103%99200
CPT 99350
Home/res vst est high mdm 60
$182$247-26%94%100200
CPT 99487
Cplx chrnc care 1st 60 min
$89$121-27%62%99194
CPT 99349
Home/res vst est mod mdm 40
$125$174-28%95%99201
CPT 99454
Rem mntr physiol param 16-30
$49$76-36%94%100200

Frequently asked questions

How do Mississippi internal medicine rates compare with the rest of the country?

Mississippi ranks 47th of 51 states with an index of 78; 3 of 25 codes are above the national median.

Which internal medicine code has the biggest premium in Mississippi?

CPT 45385 (Colonoscopy w/lesion removal), at 113% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

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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