Diagnostic radiology · New Mexico

Diagnostic radiology commercial reimbursement in New Mexico

How New Mexico diagnostic radiology rates compare with the national market.

Diagnostic radiology in New Mexico

49 codes · 125 sampled providers
Index vs national
90
10% below
Rank among states
42 of 51
1 = highest
Codes above national
0 of 49
median code at 90%
Providers
125
sampled

What the data shows

1

Diagnostic radiology ranks 42nd of 51 states in New Mexico with an index of 90 (100 = the specialty's national median), across 49 codes and 125 sampled providers.

2

Of the 49 diagnostic radiology codes with enough data in New Mexico, 0 pay above the national median and 49 below; the typical code sits at 90% of the national median.

3

Largest premium over the national median: CPT 74183 (Mri abd w/o cntr flwd cntr) at 97%; largest discount: CPT 71045 (X-ray exam chest 1 view) at 80%.

4

Measured against Medicare, New Mexico diagnostic radiology rates have a median of 138% 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.
74183
Mri abd w/o cntr flwd cntr
$618$634-2%123
72197
Mri pelvis w/o & w/dye
$616$634-3%123
74174
Cta abd&plvs w/contrast
$573$601-5%123
37243
Vasc embolize/occlude organ
$814$858-5%123
93880
Extracranial bilat study
$262$277-5%123

Lowest vs national

CodeNew MexicoNationalGapProv.
71045
X-ray exam chest 1 view
$26$33-20%123
77049
Mri breast c-+ w/cad bi
$445$558-20%123
77080
Dxa bone density axial
$54$66-18%123
73502
X-ray exam hip uni 2-3 views
$51$61-18%123
71046
X-ray exam chest 2 views
$37$45-18%123

All diagnostic radiology 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 74183
Mri abd w/o cntr flwd cntr
$618$634-3%184%123417
CPT 72197
Mri pelvis w/o & w/dye
$616$634-3%184%123417
CPT 74174
Cta abd&plvs w/contrast
$573$601-5%151%123413
CPT 37243
Vasc embolize/occlude organ
$814$858-5%169%123409
CPT 93880
Extracranial bilat study
$262$277-5%139%123424
CPT 72158
Mri lumbar spine w/o & w/dye
$559$593-6%175%123419
CPT 74178
Ct abd&plv wo cntr flwd cntr
$490$520-6%145%123412
CPT 70553
Mri brain stem w/o & w/dye
$565$600-6%178%123421
CPT 74177
Ct abd & pelvis w/contrast
$421$448-6%140%123414
CPT 93000
Electrocardiogram complete
$23$25-6%152%123404
CPT 93971
Extremity study
$160$172-7%137%123425
CPT 93970
Extremity study
$251$270-7%136%123425
CPT 99214
Office o/p est mod 30 min
$119$128-7%88%125419
CPT 99215
Office o/p est hi 40 min
$167$182-8%87%125420
CPT 73221
Mri joint upr extrem w/o dye
$375$407-8%183%123420
CPT 73721
Mri jnt of lwr extre w/o dye
$374$407-8%183%123420
CPT 99204
Office o/p new mod 45 min
$171$187-8%97%125418
CPT 99212
Office o/p est sf 10 min
$46$50-9%77%125420
CPT 72141
Mri neck spine w/o dye
$354$390-9%186%123419
CPT 74176
Ct abd & pelvis w/o contrast
$261$287-9%142%123414
CPT 99203
Office o/p new low 30 min
$109$121-9%93%125421
CPT 70551
Mri brain stem w/o dye
$364$402-9%186%123421
CPT 72148
Mri lumbar spine w/o dye
$355$392-9%185%123420
CPT 99213
Office o/p est low 20 min
$79$88-10%83%125421
CPT 99205
Office o/p new hi 60 min
$219$244-10%92%125422
CPT 71275
Ct angiography chest
$411$462-11%146%123420
CPT 70496
Ct angiography head
$405$457-11%148%123419
CPT 70450
Ct head/brain w/o dye
$172$194-11%161%123419
CPT 70498
Ct angiography neck
$405$459-12%148%123419
CPT 20610
Drain/inj joint/bursa w/o us
$73$83-12%106%124425
CPT 71271
Ct thorax lung cancer scr c-
$184$208-12%135%123415
CPT 76536
Us exam of head and neck
$135$154-13%124%123427
CPT 71260
Ct thorax dx c+
$271$312-13%162%123418
CPT 71250
Ct thorax dx c-
$216$250-14%163%123419
CPT 76641
Ultrasound breast complete
$125$145-14%125%123418
CPT 76642
Ultrasound breast limited
$103$120-14%123%123419
CPT 72125
Ct neck spine w/o dye
$212$249-15%162%123417
CPT 76700
Us exam abdom complete
$143$168-15%125%123424
CPT 76770
Us exam abdo back wall comp
$135$158-15%127%123427
CPT 72131
Ct lumbar spine w/o dye
$211$248-15%162%123419
CPT 77066
Dx mammo incl cad bi
$191$225-15%122%123421
CPT 77065
Dx mammo incl cad uni
$151$179-15%122%123418
CPT 76705
Echo exam of abdomen
$106$126-16%123%123428
CPT 77067
Scr mammo bi incl cad
$154$182-16%122%123420
CPT 71046
X-ray exam chest 2 views
$37$45-18%112%123417
CPT 73502
X-ray exam hip uni 2-3 views
$51$61-18%104%123417
CPT 77080
Dxa bone density axial
$54$66-18%138%123418
CPT 77049
Mri breast c-+ w/cad bi
$445$558-20%131%123416
CPT 71045
X-ray exam chest 1 view
$26$33-20%103%123418

Frequently asked questions

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

New Mexico ranks 42nd of 51 states with an index of 90; 0 of 49 codes are above the national median.

Which diagnostic radiology code has the biggest premium in New Mexico?

CPT 74183 (Mri abd w/o cntr flwd cntr), at 97% 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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