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Gel Diffusion Test For A Specific Substance

New Mexico rates for HCPCS 86331

A laboratory test in which the sample and a matching testing solution are placed in separate wells cut into a gel and left to spread slowly toward each other. If the substance being looked for is present, a visible line forms in the gel where the two meet. The result is a present or absent answer, reported once for each substance the laboratory checks for.

Rates data updated July 2026.

How much does Gel Diffusion Test For A Specific Substance cost?

$14.13

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $30.90 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$9.77$8.91 to $14.45
FacilityA hospital or hospital-owned outpatient department$30.90$17.78 to $74.13

How much rates vary

Facilitymedian $31 · 10th to 90th $13 to $115Professionalmedian $10 · 10th to 90th $7 to $31
$10$100$1K$10K$100Kfacility $31professional $10

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
$14.45
Median
$28.84
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.72
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$79.43
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.77
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$16.98
Typical High
$26.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$13.18
Typical High
$20.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$18.62
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$12.02
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$8.91

Where New Mexico sits

The same service costs 2.6 times more in South Dakota than in Washington, DC. 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· 17th of 51

$14.13

SD $22.91DC $8.91

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.