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Preventive Visit, Established Patient, Age 65+

Mississippi rates for HCPCS 99397

This is a routine preventive checkup for an established patient age 65 or older, focused on prevention rather than a specific complaint. It typically includes a physical exam, review of medications and chronic conditions, and screening recommendations appropriate for the patient's age.

Rates data updated July 2026.

How much does Preventive Visit, Established Patient, Age 65+ cost?

$117

Typical negotiated rate. In Mississippi, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $93.33 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 6 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$117$100 to $148
FacilityA hospital or hospital-owned outpatient department$93.33$83.18 to $112

How much rates vary

Facilitymedian $93 · 10th to 90th $83 to $112Professionalmedian $117 · 10th to 90th $81 to $178
$100$200facility $93professional $117

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
$83.18
Median
$83.18
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$42.66
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$190.55

Where Mississippi sits

The same service costs 2.1 times more in Minnesota than in Delaware. 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· 46th of 51

$117

MN $224DE $107

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.