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Blood Gene Score For Heart Artery Disease

New Mexico rates for HCPCS 81493

Measures how active a set of genes is in a blood sample and combines the readings, with other information about the person, into a single score. The score estimates how likely it is that symptoms such as chest pain are caused by narrowed heart arteries, and helps decide whether further heart testing is worthwhile.

Rates data updated July 2026.

How much does Blood Gene Score For Heart Artery Disease cost?

$933

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $1,259 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$794$794 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,259$933 to $3,162

How much rates vary

Facilitymedian $1,259 · 10th to 90th $676 to $3,388Professionalmedian $794 · 10th to 90th $437 to $6,918
$500$1K$2K$5Kfacility $1,259professional $794

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
$1,584.89
Median
$3,162.28
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,202.26
Typical High
$1,513.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,905.46
Providence
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$954.99
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$831.76

Where New Mexico sits

The same service costs 2.2 times more in North Dakota than in Connecticut. 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· 26th of 51

$933

ND $1,585CT $724

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.