Blue Cross Blue Shield employer health plans in New Mexico
Who Blue Cross Blue Shield insures among New Mexico employers and what those plans pay in premium and broker compensation, and what the Blue Cross Blue Shield network pays physicians and hospitals.
Blue Cross Blue Shield employer health plans in New Mexico at a glance
What the data shows
Blue Cross Blue Shield is the largest insurer of employer health plans in New Mexico: 62 plans held a Blue Cross Blue Shield major-medical contract in form year 2024, 47% of the state's 131 insured large plans, ahead of UnitedHealthcare with 23.
Blue Cross Blue Shield has grown 9% in New Mexico since 2020, from 57 plans.
Most of these plans cover 100–499 people (36 plans); 9 cover 1,000 or more.
Median premium per person covered was $7,261, 43% above the New Mexico all-carrier median of $5,067. Benefit design and group mix differ, so this is not a price comparison.
73% of these plans reported broker or agent pay on their Blue Cross Blue Shield contracts; where paid, the median was 4.1% of premium (middle half 3.1%–4.6%).
In BCBS: BCBS NM, 20 of the 50 Employer 50 services have a New Mexico benchmark, at a median of 91% of Medicare across those services.
At New Mexico hospitals, Blue Cross Blue Shield's commercial rates run higher than other carriers' at the same hospital for 0 of 3 services; a hip or knee replacement stay has a median rate of $23,019 across 16 hospitals.
Blue Cross Blue Shield plans in New Mexico, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 57 | 22,601 | 42% | $6,174 |
| 2021 | 54 | 20,742 | 44% | $6,565 |
| 2022 | 50 | 22,759 | 43% | $6,774 |
| 2023 | 60 | 39,450 | 46% | $6,998 |
| 2024 | 62 | 40,362 | 47% | $7,261 |
| 2025 (partial) | 36 | 12,416 | 39% | $7,493 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 10 | 16% |
| 100–499 | 36 | 58% |
| 500–999 | 7 | 11% |
| 1,000–4,999 | 7 | 11% |
| 5,000 or more | 2 | 3% |
Premiums and broker pay
| Measure | Blue Cross Blue Shield | All carriers, New Mexico |
|---|---|---|
| Median premium per person covered | $7,261 | $5,067 |
| Premium per person, middle half | $5,067–$8,897 | $2,580–$7,649 |
| Plans reporting broker or agent pay | 73% | 75% |
| Median broker pay, % of premium | 4.1% | 4.3% |
| Broker pay, middle half | 3.1%–4.6% | 3.6%–8.1% |
| Median broker pay per person covered | $247 | $232 |
Industries
Blue Cross Blue Shield's New Mexico employer clients are concentrated in construction (10 plans) and health care and social assistance (8), followed by finance and insurance (6).
| Industry | Plans | Share |
|---|---|---|
| Construction | 10 | 16% |
| Health care and social assistance | 8 | 13% |
| Finance and insurance | 6 | 10% |
| Arts and recreation | 5 | 8% |
| Professional and technical services | 5 | 8% |
| Other services | 4 | 6% |
Blue Cross Blue Shield employer clients in New Mexico
60 employers in New Mexico have a Blue Cross Blue Shield major-medical contract, 9 of them covering 1,000 or more people. For each one Medlyze has the plan year, the broker on each contract and what that broker was paid, and compiles the list for a state, an industry or a single employer on request.
| Employer | Persons covered | Plan year ends | Broker | Broker pay, % of premium |
|---|---|---|---|---|
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
Brokers: request the Blue Cross Blue Shield Prospect List for New Mexico →
What the Blue Cross Blue Shield network pays physicians in New Mexico
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Echocardiogram, transthoracic complete with Doppler | 93306 | $188 | $177–$217 | 95% | $292 | 40 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $354 | $344–$421 | 83% | $533 | 39 |
| Skin biopsy, single lesion (tangential) | 11102 | $116 | $103–$116 | 121% | $146 | 17 |
| Abdominal ultrasound, complete | 76700 | $105 | $105–$121 | 92% | $174 | 31 |
| Bone density scan (DXA), axial | 77080 | $35 | $35–$41 | 89% | $66 | 31 |
| CT abdomen and pelvis with contrast | 74177 | $278 | $276–$320 | 93% | $446 | 31 |
| CT chest without contrast | 71250 | $123 | $123–$148 | 93% | $256 | 31 |
| Chest X-ray, 2 views | 71046 | $29 | $27–$33 | 87% | $43 | 31 |
| MRI brain without and with contrast | 70553 | $295 | $295–$347 | 93% | $609 | 31 |
| MRI cervical spine without contrast | 72141 | $177 | $177–$209 | 93% | $375 | 31 |
| MRI knee (lower-extremity joint) without contrast | 73721 | $187 | $187–$219 | 92% | $383 | 31 |
| MRI lumbar spine without contrast | 72148 | $178 | $178–$207 | 93% | $375 | 31 |
| MRI shoulder (upper-extremity joint) without contrast | 73221 | $188 | $188–$219 | 92% | $383 | 31 |
| Pelvic ultrasound, complete (non-obstetric) | 76856 | $93 | $91–$108 | 88% | $152 | 31 |
| Screening mammography, bilateral (incl. CAD) | 77067 | $115 | $101–$140 | 91% | $180 | 31 |
Professional fee only: facility, implant and anesthesia charges are not included. Limited: rates come from a sample of providers, and groups are counted only in specialties that perform the service.
What the Blue Cross Blue Shield network pays hospitals in New Mexico
Blue Cross Blue Shield commercial rates are on record at 22 New Mexico hospitals (the hospitals covered so far, not every hospital). Compared at the same hospitals, Blue Cross Blue Shield's rate is higher than the other carriers' median for 0 of 3 services and lower for 3. For Hip or knee replacement (hospital stay), the rate runs from $13,408 to $32,459 across 16 hospitals.
This page shows 1 of the 3 services in full. The other rates, the size of each gap and every hospital's prices are in the Plan Cost Benchmark.
| Service | Hospitals | Median rate | Range (P10–P90) | vs other carriers, same hospitals | Cash price, median |
|---|---|---|---|---|---|
| Hip or knee replacement (hospital stay) | 16 | $23,019 | $13,408–$32,459 | Lower | $39,181 |
| C-section delivery (hospital stay) | 14 | Locked | Locked | Lower | Locked |
| Vaginal delivery (hospital stay) | 14 | Locked | Locked | Lower | Locked |
Hospitals with the most published Blue Cross Blue Shield rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Artesia General Hospital | $14,188 | Locked | Locked | Locked | Locked | Locked |
| Christus Gerald Champion Regional Medical Center | $15,084 | Locked | Locked | Locked | Locked | Locked |
| Christus St. Vincent Regional Medical Center | $22,611 | Locked | Locked | Locked | Locked | Locked |
| Cibola General Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Covenant Health Hobbs Hospital | $21,372 | Locked | Locked | Locked | Locked | Locked |
| Dr Dan C Trigg Memorial Hospital | $32,459 | Locked | Locked | Locked | Locked | Locked |
| Lincoln County Medical Center | $33,838 | Locked | Locked | Locked | Locked | Locked |
| Lovelace Regional Hospital Roswell | $13,408 | Locked | Locked | Locked | Locked | Locked |
| Lovelace Womens Hospital | $23,019 | Locked | Locked | Locked | Locked | Locked |
| Mimbres Memorial Hospital | $8,198 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 14%, fee schedules 26%, per diem 1%, percent of billed charges 59%, other 1% of Blue Cross Blue Shield's published commercial rates for these services in New Mexico.
Employers: see all 3 services and every hospital near your people in a Plan Cost Benchmark →
Hospital facility rate only: physician, anesthesia and implant charges are separate. Rates are what hospitals publish, not claims paid, and are not weighted by use.
Carriers in New Mexico
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Blue Cross Blue Shield | 62 | 47% | $7,261 | 4.1% |
| Other insurers (regional and local plans) | 29 | 22% | $4,372 | 4.7% |
| UnitedHealthcare | 23 | 18% | $5,283 | 4.1% |
| Cigna | 22 | 17% | $3,502 | 9.3% |
| Kaiser Permanente | 3 | 2% | $2,580 | 4.6% |
| Humana | 2 | 2% | $887 | – |
| Anthem (Elevance Health) | 1 | 1% | $41 | 585.1% |
Blue Cross Blue Shield in other states
FAQ
How many New Mexico employers have Blue Cross Blue Shield health insurance?
62 employer health plans in New Mexico reported a Blue Cross Blue Shield major-medical contract in their 2024 filings, covering 40,362 persons. Self-funded plans that Blue Cross Blue Shield only administers are not counted.
What is Blue Cross Blue Shield's share of the New Mexico insured employer market?
47% of insured large employer health plans, 1st of 7 carrier groups by plan count.
How much do brokers earn on Blue Cross Blue Shield plans in New Mexico?
Where broker or agent pay was reported, the median was 4.1% of premium (4.3% across all carriers in New Mexico).
Can I see the figures for a specific employer?
Yes. Brokers can request an Employer Account Brief on one employer, or a Prospect List for this market. Employers can request a Plan Cost Benchmark for their own plan. Use the request form on this page.
About these numbers
- Plans counted: the 62 New Mexico employer health plans with a Blue Cross Blue Shield major-medical contract in their 2024 filings. Self-funded plans that Blue Cross Blue Shield only administers are not counted here.
- Premium and broker figures: 58 contracts with 20+ persons covered and a reported premium; broker percentages use the 44 contracts that reported broker or agent pay.
- Network rates: BCBS: BCBS NM, professional fees only, from a sample of providers.
- Hospital prices: Blue Cross Blue Shield commercial rates at New Mexico hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.