Dermatology · New Mexico

Dermatology commercial reimbursement in New Mexico

How New Mexico dermatology rates compare with the national market.

Dermatology New Mexico

Dermatology in New Mexico

44 codes · 34 sampled providers

Index vs national

6% below

Rank among states

32 of 50

1 = highest

Codes above national

11 of 44

median code at 94%

Providers

sampled

What the data shows

Dermatology ranks 32nd of 50 states in New Mexico with an index of 94 (100 = the specialty's national median), across 44 codes and 34 sampled providers.

Of the 44 dermatology codes with enough data in New Mexico, 11 pay above the national median and 33 below; the typical code sits at 94% of the national median.

Largest premium over the national median: CPT 99215 (Office o/p est hi 40 min) at 109%; largest discount: CPT 88312 (Special stains group 1) at 70%.

Measured against Medicare, New Mexico dermatology rates have a median of 92% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

Code	New Mexico	National	Gap	Prov.
99215 Office o/p est hi 40 min	$169	$155	+9%	34
20610 Drain/inj joint/bursa w/o us	$74	$70	+6%	33
99214 Office o/p est mod 30 min	$116	$110	+5%	34
99212 Office o/p est sf 10 min	$46	$44	+4%	34
14060 Tis trnfr e/n/e/l 10 sq cm/<	$870	$835	+4%	33

Lowest vs national

Code	New Mexico	National	Gap	Prov.
88312 Special stains group 1	$68	$96	-30%	34
88342 Imhchem/imcytchm 1st antb	$72	$95	-24%	34
11301 Shave skin lesion 0.6-1.0 cm	$74	$85	-13%	34
77280 Ther rad simulaj field smpl	$266	$302	-12%	32
11302 Shave skin lesion 1.1-2.0 cm	$87	$98	-12%	33

All dermatology codes in New Mexico

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium

Code	New Mexico	National	Gap	% of Medicare	Providers	TINs
CPT 99215 Office o/p est hi 40 min	$169	$155	+9%	88%	34	57
CPT 20610 Drain/inj joint/bursa w/o us	$74	$70	+6%	108%	33	41
CPT 99214 Office o/p est mod 30 min	$116	$110	+5%	86%	34	57
CPT 99212 Office o/p est sf 10 min	$46	$44	+4%	78%	34	57
CPT 14060 Tis trnfr e/n/e/l 10 sq cm/<	$870	$835	+4%	113%	33	55
CPT 99213 Office o/p est low 20 min	$78	$76	+3%	82%	34	57
CPT 15260 Fth/gft fr n/e/e/l 20 sqcm/<	$1,100	$1,078	+2%	110%	33	55
CPT 99205 Office o/p new hi 60 min	$215	$211	+2%	91%	34	56
CPT 11602 Exc tr-ext mal+marg 1.1-2 cm	$231	$228	+1%	96%	33	55
CPT 96574 Dbrdmt prmlg les w/pdt	$319	$315	+1%	119%	33	55
CPT 14041 Tis trnfr f/c/c/m/n/a/g/h/f	$996	$991	+0%	108%	33	55
CPT 13152 Cmplx rpr e/n/e/l 2.6-7.5 cm	$498	$498	-0%	101%	33	55
CPT 14061 Tis trnfr e/n/e/l10.1-30sqcm	$1,067	$1,074	-1%	107%	33	55
CPT 14040 Tis trnfr f/c/c/m/n/a/g/h/f	$791	$800	-1%	103%	33	55
CPT 12052 Intmd rpr face/mm 2.6-5.0 cm	$286	$289	-1%	92%	33	55
CPT 99202 Office o/p new sf 15 min	$69	$70	-1%	91%	34	57
CPT 17000 Destruct premalg lesion	$67	$69	-3%	101%	34	57
CPT 96910 Photchmtx tar&uvb/ptrltm&uvb	$121	$125	-3%	105%	33	54
CPT 99204 Office o/p new mod 45 min	$155	$163	-5%	88%	34	57
CPT 13132 Cmplx rpr f/c/c/m/n/ax/g/h/f	$448	$470	-5%	97%	34	56
CPT 17313 Mohs 1 stage t/a/l	$490	$515	-5%	190%	33	55
CPT 11104 Punch bx skin single lesion	$76	$81	-6%	200%	34	56
CPT 17261 Dstrj mal les t/a/l .6-1.0cm	$124	$132	-6%	86%	33	55
CPT 11603 Exc tr-ext mal+marg 2.1-3 cm	$251	$267	-6%	91%	33	55
CPT 17111 Destruction b9 lesions 15/>	$113	$120	-6%	87%	34	56
CPT 14301 Tis trnfr any 30.1-60 sq cm	$1,081	$1,155	-6%	96%	33	55
CPT 13101 Cmplx rpr trunk 2.6-7.5 cm	$348	$374	-7%	89%	33	55
CPT 17311 Mohs 1 stage h/n/hf/g	$537	$577	-7%	187%	33	55
CPT 13121 Cmplx rpr s/a/l 2.6-7.5 cm	$369	$398	-7%	88%	33	55
CPT 93000 Electrocardiogram complete	$20	$21	-7%	129%	34	53
CPT 17262 Dstrj mal les t/a/l 1.1-2.0	$150	$163	-8%	86%	33	55
CPT 12032 Intmd rpr s/a/t/ext 2.6-7.5	$259	$280	-8%	86%	34	57
CPT 17110 Destruction b9 les up to 14	$94	$101	-8%	84%	34	57
CPT 11102 Tangntl bx skin single les	$60	$65	-8%	199%	34	56
CPT 88305 Tissue exam by pathologist	$62	$68	-9%	89%	34	55
CPT 99203 Office o/p new low 30 min	$96	$106	-9%	82%	34	57
CPT 17282 Dstr mal ls f/e/e/n/l/m1.1-2	$178	$195	-9%	89%	34	57
CPT 12042 Intmd rpr n-hf/genit2.6-7.5	$255	$285	-11%	84%	33	55
CPT 17004 Destroy premal lesions 15/>	$137	$154	-11%	85%	33	55
CPT 11302 Shave skin lesion 1.1-2.0 cm	$87	$98	-12%	179%	33	55
CPT 77280 Ther rad simulaj field smpl	$266	$302	-12%	99%	32	39
CPT 11301 Shave skin lesion 0.6-1.0 cm	$74	$85	-13%	177%	34	57
CPT 88342 Imhchem/imcytchm 1st antb	$72	$95	-24%	66%	34	55
CPT 88312 Special stains group 1	$68	$96	-30%	62%	34	55

Frequently asked questions

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

New Mexico ranks 32nd of 50 states with an index of 94; 11 of 44 codes are above the national median.

Which dermatology code has the biggest premium in New Mexico?

CPT 99215 (Office o/p est hi 40 min), at 109% 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.

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