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Inflatable Penile Prosthesis

New Mexico rates for HCPCS C1813

Prosthesis, penile, inflatable

Rates data updated July 2026.

How much does Inflatable Penile Prosthesis cost?

$7,943

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $7,943 for this service. The price depends on where it is billed: about $7,943 from a physician practice, and about $7,943 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7,943$7,079 to $9,333
FacilityA hospital or hospital-owned outpatient department$7,943$7,079 to $11,482

How much rates vary

Facilitymedian $7,943 · 10th to 90th $5,888 to $81,283Professionalmedian $7,943 · 10th to 90th $7,079 to $9,333
$100$1K$10K$100Kfacility $7,943professional $7,943

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$7,943.28
Typical High
$9,332.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,943.28
Typical High
$9,549.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89

Where New Mexico sits

The same service costs 2.1 times more in Arizona than in New Hampshire. 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.

New Mexico· 2nd of 51

$7,943

AZ $7,943NH $3,802

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.