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Unlisted Lung Service Or Procedure

New Mexico rates for HCPCS 94799

Used when a lung or breathing service does not match any of the standard named ones, whether it is a measurement, a procedure, or a treatment. The clinician files a written account of what was done and why, which is then judged against the closest named services. Because it stands in for work with no standard name of its own, what was actually done varies from one patient to the next.

Rates data updated October 2026.

How much does Unlisted Lung Service Or Procedure cost?

$240

Typical facility fee. In New Mexico, October 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $60.26 to $851.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $813 · 10th to 90th $240 to $1,318Professionalmedian $60 · 10th to 90th $50 to $85
$50$100$200$500$1Kfacility $813professional $60

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$831.76
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$60.26
Typical High
$85.11
United
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$562.34

Where New Mexico sits

The same service costs 7413.1 times more in Pennsylvania than in North Carolina. 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 48

$240

PA $58,884NC $7.94

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.