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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 July 2026.

How much does Nasolabial Fistula Repair cost?

$912

Typical negotiated rate. In Mississippi, July 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $1,820 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$912$724 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,820$776 to $2,951

How much rates vary

Facilitymedian $1,820 · 10th to 90th $708 to $5,129Professionalmedian $912 · 10th to 90th $617 to $1,905
$50.0$200.0$1.0K$5.0K$20.0Kfacility $1,820professional $912

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$870.96
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,905.46
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,630.27
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,691.53
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,778.28

Where Mississippi sits

The same service costs 2.2 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Mississippi $912 · 26th of 51
MN $1,738WV $794

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.