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Internal Organ Diagnostic Or Treatment Procedure

New Mexico rates for HCPCS 0597T

A service related to the diagnosis or treatment of a condition involving an internal organ. It is generally provided by a physician or other qualified clinician, often on an outpatient basis. Ask your provider for details specific to your diagnosis and treatment plan.

Rates data updated July 2026.

How much does Internal Organ Diagnostic Or Treatment Procedure cost?

$67.61

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $2,089 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 4 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$67.61$66.07 to $67.61
FacilityA hospital or hospital-owned outpatient department$2,089$1,000 to $2,630

How much rates vary

Facilitymedian $2,089 · 10th to 90th $112 to $3,020Professionalmedian $68 · 10th to 90th $66 to $71
$50$100$200$500$1K$2K$5Kfacility $2,089professional $68

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,089.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$67.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$114.82
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$2,630.27
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$102.33

Where New Mexico sits

The same service costs 70.8 times more in California than in North Dakota. 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· 47th of 51

$67.61

CA $3,388ND $47.86

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.