UnitedHealthcare · New Mexico · commercial in-network

UnitedHealthcare negotiated rates in New Mexico

How UnitedHealthcare's New Mexico rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.

UnitedHealthcare in New Mexico at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
132
32% above the New Mexico median
Rank in state
1 of 4
UHC 132 · Cigna 112 · Aetna 94 · BCBS 74
vs own national
109
UHC's level vs its national median
Codes where highest
78%
of 228 codes
471 sampled providers329 TINs228 codesMedian 182% of Medicare · method

What the data shows

Generated from New Mexico and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in New Mexico with a rate index of 132 (100 = the New Mexico market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 78% of codes in New Mexico.

3

UnitedHealthcare's New Mexico rates sit 9% above its own national level, the 20th highest of its 51 states.

4

Largest premium over the New Mexico market: CPT 52224 (Cystoscopy and treatment) at 369% of market; largest discount: CPT 88305 (Tissue exam by pathologist) at 65%.

How the four payers compare in New Mexico

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1321
132
78%471
Cigna1122
112
20%464
Aetna943
94
2%406
Blue Cross Blue Shield744
74
0%562

Where UnitedHealthcare pays most and least against the New Mexico market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
52224
Cystoscopy and treatment
$1,370$371+269%27
52332
Cystoscopy and treatment
$816$276+196%27
43255
Egd control bleeding any
$1,099$377+192%45
43239
Egd biopsy single/multiple
$748$271+176%45
11102
Tangntl bx skin single les
$160$60+167%27
52648
Laser surgery of prostate
$3,365$1,259+167%27
11104
Punch bx skin single lesion
$201$76+163%27
64566
Neuroeltrd stim post tibial
$178$68+162%27

Furthest below market

CodeUHCMarketGapProv.
88305
Tissue exam by pathologist
$43$66-35%72
88313
Special stains group 2
$46$53-13%45
88342
Imhchem/imcytchm 1st antb
$64$72-11%27
73030
X-ray exam of shoulder
$34$36-6%86
72100
X-ray exam l-s spine 2/3 vws
$39$41-6%86
73564
X-ray exam knee 4 or more
$44$47-6%86
88312
Special stains group 1
$64$68-5%72
73560
X-ray exam of knee 1 or 2
$34$35-3%86

Where UnitedHealthcare pays above and below its national level

Index vs the payer's own national median (100 = national)

Highest states

StateIndexProv.
Alaska193
164
Wisconsin173
610
Minnesota166
618
Oregon164
683
Massachusetts152
772

Lowest states

StateIndexProv.
Alabama73
719
Florida78
744
Arizona82
699
Louisiana83
808
Delaware83
379

Frequently asked questions

Does UnitedHealthcare pay more or less than the other payers in New Mexico?

UnitedHealthcare ranks 1st of 4 in New Mexico with an index of 132. It is highest on 78% of codes.

Are UnitedHealthcare's New Mexico rates above or below its national level?

About 9% above.

Which procedure does UnitedHealthcare pay most above market in New Mexico?

CPT 52224 (Cystoscopy and treatment), at 369% of the New Mexico median.

Methodology

How these numbers are calculated
  • Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
  • Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
  • Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
  • Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
  • Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
  • Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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