go back

New Mexico rates for HCPCS 99281

Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional

Facilitymedian $60 · 10th–90th $16–$2750%10%10th90th$60Professionalmedian $35 · 10th–90th $7–$690%10%10th90th$35$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $147.91 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $38.02 / $69.18
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $295.12 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $25.70 / $39.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $30.90 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $29.51 / $51.29
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11