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Nasolabial Fistula Repair

Mississippi rates for HCPCS 42260

Surgically closes a nasolabial fistula -- an abnormal opening connecting the nose and the mouth near the upper lip. This is most often needed as a later repair following an earlier cleft lip or palate procedure.

Rates data updated October 2026.

How much does Nasolabial Fistula Repair cost?

$1,023

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,820 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$977$776 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,820$955 to $3,162

How much rates vary

Facilitymedian $1,820 · 10th to 90th $759 to $6,607Professionalmedian $977 · 10th to 90th $617 to $1,905
$50$200$1K$5Kfacility $1,820professional $977

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$1,659.59
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$309.03
Median
$831.76
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$331.13
Typical High
$478.63
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$467.74
Median
$1,230.27
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$93.33
Median
$245.47
Typical High
$363.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$61.66
Median
$165.96
Typical High
$239.88
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$436.52
Median
$1,148.15
Typical High
$1,659.59
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$2,884.03
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$912.01
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,412.54
Typical High
$7,585.78
United
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$776.25
Typical High
$1,778.28

Where Mississippi sits

The same service costs 4.4 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Mississippi· 19th of 51

$1,023

AK $2,754NJ $631

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.