Commercial healthcare reimbursement in Mississippi
How Mississippi compares with the nation, by payer, specialty and procedure.
Mississippi at a glance
What the data shows
Mississippi ranks 16th of 51 states for commercial reimbursement, with an index of 111 (100 = national median) across 228 procedure codes; the South region averages 94.
Commercial rates in Mississippi run a median 159% of Medicare.
Blue Cross Blue Shield has the highest index in the state (112) and Cigna the lowest (89), a 23-point gap, in the files analyzed.
CPT 67028 (Injection eye drug) is the strongest relative to the national median (158% of it, a 58% premium); CPT 99454 (Rem mntr physiol param 16-30) is furthest below (65% of the national median, 35% lower).
By specialty, Mississippi is strongest for gastroenterology (ranks 13th of 50 states for that specialty) and weakest for internal medicine (47th of 51).
Against Medicare, gastroenterology has the highest ratio in Mississippi (212% of Medicare) and internal medicine the lowest (94%).
Payer ranking in Mississippi
| Payer | Index | Rank | Level | Codes | Providers | TINs |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 112 | 1 | 227 | 673 | 420 | |
| Aetna | 100 | 2 | 228 | 608 | 491 | |
| UnitedHealthcare | 90 | 3 | 228 | 676 | 439 | |
| Cigna | 89 | 4 | 227 | 702 | 456 |
Reimbursement index by specialty in Mississippi
| Specialty | Index | Rank among states | % of Medicare | Level | Codes | Providers |
|---|---|---|---|---|---|---|
| Gastroenterology | 115 | 13 of 50 | 212% | 36 | 93 | |
| Dermatology | 126 | 15 of 50 | 121% | 44 | 55 | |
| Orthopedic surgery | 111 | 16 of 51 | 177% | 39 | 112 | |
| Urology | 107 | 18 of 50 | 174% | 37 | 67 | |
| Ophthalmology | 110 | 21 of 50 | 137% | 42 | 103 | |
| Diagnostic radiology | 98 | 29 of 51 | 160% | 49 | 115 | |
| Cardiology | 94 | 33 of 51 | 140% | 38 | 132 | |
| Internal medicine | 78 | 47 of 51 | 94% | 25 | 101 |
Specialty by payer in Mississippi
| Specialty | UHC | Aetna | Cigna | BCBS |
|---|---|---|---|---|
| Internal medicine | 83 | 65 | 73 | 96 |
| Dermatology | 110 | 111 | 95 | 136 |
| Ophthalmology | 96 | 122 | 96 | 146 |
| Cardiology | 91 | 106 | 100 | 98 |
| Orthopedic surgery | 90 | 119 | 98 | 120 |
| Diagnostic radiology | 87 | 96 | 93 | 119 |
| Urology | 91 | 113 | 87 | 130 |
| Gastroenterology | 112 | 121 | 96 | 121 |
Mississippi compared with South region states
| State | Index | Rank | % of Medicare | Providers | Level |
|---|---|---|---|---|---|
| Mississippi | 111 | 16 | 159% | 778 | |
| North Carolina | 115 | 15 | 175% | 1,009 | |
| District of Columbia | 104 | 20 | 154% | 521 | |
| Georgia | 125 | 11 | 188% | 978 | |
| Tennessee | 96 | 29 | 143% | 944 | |
| West Virginia | 93 | 34 | 146% | 608 |
Procedures that pay most and least in Mississippi vs the nation
Highest vs national
| Code | Mississippi | National | Gap | Prov. |
|---|---|---|---|---|
| 67028 Injection eye drug | $216 | $137 | +58% | 103 |
| 11104 Punch bx skin single lesion | $122 | $81 | +51% | 55 |
| 11102 Tangntl bx skin single les | $97 | $65 | +50% | 55 |
| 65855 Trabeculoplasty laser surg | $433 | $307 | +41% | 103 |
| 67840 Remove eyelid lesion | $357 | $253 | +41% | 103 |
| 43235 Egd diagnostic brush wash | $414 | $294 | +41% | 92 |
| 43249 Esoph egd dilation <30 mm | $376 | $271 | +39% | 92 |
| 17000 Destruct premalg lesion | $95 | $69 | +38% | 55 |
| 52332 Cystoscopy and treatment | $491 | $360 | +36% | 67 |
| 14040 Tis trnfr f/c/c/m/n/a/g/h/f | $1,090 | $800 | +36% | 55 |
| 11302 Shave skin lesion 1.1-2.0 cm | $134 | $98 | +36% | 55 |
| 76512 Oph us dx b-scan | $95 | $70 | +36% | 103 |
| 65778 Cover eye w/membrane | $95 | $70 | +35% | 102 |
| 67210 Treatment of retinal lesion | $890 | $659 | +35% | 103 |
| 45388 Colonoscopy w/ablation | $663 | $492 | +35% | 92 |
Lowest vs national
| Code | Mississippi | National | Gap | Prov. |
|---|---|---|---|---|
| 99454 Rem mntr physiol param 16-30 | $49 | $75 | -35% | 231 |
| 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 |
| 99497 Advncd care plan 30 min | $82 | $108 | -24% | 99 |
| 93297 Rem interrog dev eval icpms | $40 | $52 | -24% | 132 |
| 99496 Transj care mgmt high f2f 7d | $226 | $291 | -22% | 101 |
| 99495 Transj care mgmt mod f2f 14d | $167 | $211 | -21% | 101 |
| 99490 Chrnc care mgmt staff 1st 20 | $48 | $60 | -21% | 388 |
| 93229 Remote 30 day ecg tech supp | $863 | $1,088 | -21% | 131 |
| 99215 Office o/p est hi 40 min | $142 | $176 | -19% | 777 |
| 99213 Office o/p est low 20 min | $70 | $86 | -19% | 778 |
| 99214 Office o/p est mod 30 min | $103 | $125 | -18% | 778 |
| 99205 Office o/p new hi 60 min | $196 | $239 | -18% | 777 |
Frequently asked questions
How do commercial reimbursement rates in Mississippi compare with the rest of the country?
Mississippi ranks 16th of 51 states with an index of 111, across 228 procedure codes. Median commercial rates run 159% of the Medicare rate.
Which payer has the highest rates in Mississippi?
In the files we analyzed, Blue Cross Blue Shield has the highest index (112) and Cigna the lowest (89). Each payer's figures describe the specific plans and networks in the files used, not its whole book of business.
Which specialty has the strongest rates in Mississippi?
Gastroenterology ranks 13th of 50 states.
How many providers does this Mississippi page cover?
778 sampled providers across 4 payers. The data comes from a random sample of providers, so counts describe the sample, not every provider in the state.
Which procedures differ most between Mississippi and the national median?
CPT 67028 (Injection eye drug) is highest relative to the nation at 158% of the national median; CPT 99454 (Rem mntr physiol param 16-30) is lowest at 65%.
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.
Benchmark your Mississippi contracts
Compare your negotiated rates with these state medians by payer and specialty.