Cardiology · New Mexico

Cardiology commercial reimbursement in New Mexico

How New Mexico cardiology rates compare with the national market.

Cardiology in New Mexico

38 codes · 85 sampled providers
Index vs national
93
7% below
Rank among states
34 of 51
1 = highest
Codes above national
6 of 38
median code at 93%
Providers
85
sampled

What the data shows

1

Cardiology ranks 34th of 51 states in New Mexico with an index of 93 (100 = the specialty's national median), across 38 codes and 85 sampled providers.

2

Of the 38 cardiology codes with enough data in New Mexico, 6 pay above the national median and 32 below; the typical code sits at 93% of the national median.

3

Largest premium over the national median: CPT 33361 (Replace aortic valve perq) at 106%; largest discount: CPT 93880 (Extracranial bilat study) at 84%.

4

Measured against Medicare, New Mexico cardiology rates have a median of 137% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeNew MexicoNationalGapProv.
33361
Replace aortic valve perq
$2,046$1,938+6%83
33208
Insrt heart pm atrial & vent
$851$819+4%83
33285
Insj subq car rhythm mntr
$139$135+3%83
99457
Rpm tx mgmt 1st 20 min
$54$53+2%82
36482
Endoven ther chem adhes 1st
$283$278+2%83

Lowest vs national

CodeNew MexicoNationalGapProv.
93880
Extracranial bilat study
$237$283-16%85
93970
Extremity study
$232$275-16%85
93306
Tte w/doppler complete
$271$317-14%85
93925
Lower extremity study
$299$349-14%85
93308
Tte f-up or lmtd
$133$155-14%85

All cardiology codes in New Mexico

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeNew MexicoNationalGap% of MedicareProvidersTINsLevel
CPT 33361
Replace aortic valve perq
$2,046$1,938+6%190%83148
CPT 33208
Insrt heart pm atrial & vent
$851$819+4%187%83151
CPT 33285
Insj subq car rhythm mntr
$139$135+3%184%83150
CPT 99457
Rpm tx mgmt 1st 20 min
$54$53+2%104%82153
CPT 36482
Endoven ther chem adhes 1st
$283$278+2%178%83141
CPT 36465
Njx noncmpnd sclrsnt 1 vein
$189$185+2%179%82147
CPT 99454
Rem mntr physiol param 16-30
$74$75-1%143%82151
CPT 93656
Compre ep eval abltj atr fib
$1,588$1,615-2%197%83152
CPT 93229
Remote 30 day ecg tech supp
$1,070$1,088-2%141%80148
CPT 93294
Rem interrog evl pm/ldls pm
$46$48-3%158%83150
CPT 99490
Chrnc care mgmt staff 1st 20
$58$60-4%87%84152
CPT 93280
Pm device progr eval dual
$102$105-4%129%84155
CPT 99203
Office o/p new low 30 min
$116$122-5%99%84157
CPT 93010
Electrocardiogram report
$12$13-5%144%84152
CPT 99204
Office o/p new mod 45 min
$182$192-5%102%84157
CPT 92928
Prq tcat plmt ntrac st 1 les
$841$887-5%181%84153
CPT 99212
Office o/p est sf 10 min
$48$51-6%80%84157
CPT 93016
Cv stress test supvj only
$32$34-6%154%84152
CPT 99213
Office o/p est low 20 min
$85$91-7%89%84156
CPT 93458
L hrt artery/ventricle angio
$1,468$1,573-7%145%84149
CPT 99205
Office o/p new hi 60 min
$233$250-7%98%84157
CPT 99214
Office o/p est mod 30 min
$120$131-8%89%84156
CPT 75574
Ct angio hrt w/3d image
$454$495-8%139%84148
CPT 93000
Electrocardiogram complete
$23$25-9%151%83155
CPT 99215
Office o/p est hi 40 min
$169$185-9%88%84156
CPT 20610
Drain/inj joint/bursa w/o us
$76$83-9%110%84150
CPT 93296
Rem interrog evl pm/ids
$35$39-9%112%82151
CPT 93015
Cv stress test supvj i&r
$106$120-12%144%84154
CPT 93312
Echo transesophageal
$341$387-12%142%84153
CPT 93297
Rem interrog dev eval icpms
$46$52-12%75%83149
CPT 93298
Rem interrog dev eval scrms
$46$52-12%44%83154
CPT 78452
Ht muscle image spect mult
$533$609-12%125%85148
CPT 93351
Stress tte complete
$320$366-13%137%85155
CPT 93308
Tte f-up or lmtd
$133$155-14%132%85156
CPT 93925
Lower extremity study
$299$349-14%126%85150
CPT 93306
Tte w/doppler complete
$271$317-14%138%85158
CPT 93970
Extremity study
$232$275-16%126%85151
CPT 93880
Extracranial bilat study
$237$283-16%125%85153

Frequently asked questions

How do New Mexico cardiology rates compare with the rest of the country?

New Mexico ranks 34th of 51 states with an index of 93; 6 of 38 codes are above the national median.

Which cardiology code has the biggest premium in New Mexico?

CPT 33361 (Replace aortic valve perq), at 106% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

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.

Benchmark your New Mexico cardiology contracts

Compare your rates with these medians.

Request a rate benchmark