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Simple Revision of a Neck Breathing Opening

New Mexico rates for HCPCS 31613

Reshapes or repairs the surgical opening in the neck that a person breathes through, when it has narrowed, scarred, or healed into a shape that causes problems. The surgeon trims and re-sews the edges so the opening stays the right size and stays easy to use. This is the straightforward version, done without rotating a flap of nearby skin into the opening.

Rates data updated October 2026.

How much does Simple Revision of a Neck Breathing Opening cost?

$2,301

Typical total for the visit. In New Mexico, October 2026.

Insurers have agreed to pay about $2,301 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $1,698 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$603$479 to $692
Facility feeThe hospital or surgery center$1,698$1,230 to $2,512

How much rates vary

Facilitymedian $1,698 · 10th to 90th $617 to $6,457Professionalmedian $603 · 10th to 90th $347 to $832
$50$200$1K$5Kfacility $1,698professional $603

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$1,380.38
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$691.83
Typical High
$691.83
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$501.19
Typical High
$741.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$1,698.24
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$562.34
Typical High
$831.76
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$120.23
Typical High
$602.56
Providence
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$1,513.56
Typical High
$2,511.89
Providence
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$616.60
Typical High
$831.76
United
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,344.23
Typical High
$7,585.78
United
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$630.96
Typical High
$1,000.00

Where New Mexico sits

The same service costs 4.1 times more in Oklahoma than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

New Mexico· 34th of 51

$2,301

$603 physician + $1,698 facility

OK $5,653MT $1,368

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.