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Respiratory Pathogen Panel Of 22 Targets

New Mexico rates for HCPCS 0223U

Tests a swab sample for the genetic material of 22 respiratory germs at once, among them SARS-CoV-2, the virus that causes COVID-19. It reports which of the targets are present in someone with respiratory symptoms.

Rates data updated July 2026.

How much does Respiratory Pathogen Panel Of 22 Targets cost?

$417

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $1,862 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$417$331 to $417
FacilityA hospital or hospital-owned outpatient department$1,862$631 to $2,951

How much rates vary

Facilitymedian $1,862 · 10th to 90th $372 to $3,548Professionalmedian $417 · 10th to 90th $174 to $417
$200$1K$5K$20Kfacility $1,862professional $417

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
$524.81
Median
$1,122.02
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,290.87
Typical High
$3,715.35
Molina
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$891.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$741.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$371.54
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$251.19

Where New Mexico sits

The same service costs 3.6 times more in North Dakota than in Oklahoma. 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.

New Mexico· 6th of 51

$417

ND $631OK $174

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.