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Planned Tracheostomy In A Child Under Two

Illinois rates for HCPCS 31601

A planned operation in a child younger than two that creates an opening through the front of the neck into the windpipe and places a breathing tube in it. It gives a stable airway for a child who needs long-term breathing support or whose upper airway is blocked.

Rates data updated July 2026.

How much does Planned Tracheostomy In A Child Under Two cost?

$617

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $2,884 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 6 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$513$427 to $724
FacilityA hospital or hospital-owned outpatient department$2,884$933 to $5,370

How much rates vary

Facilitymedian $2,884 · 10th to 90th $513 to $8,913Professionalmedian $513 · 10th to 90th $251 to $977
$200$500$1K$2K$5K$10Kfacility $2,884professional $513

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,258.93
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$446.68
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$8,511.38
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$549.54
Typical High
$831.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$724.44
Typical High
$1,621.81
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,570.88
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$977.24

Where Illinois sits

The same service costs 13.2 times more in California than in Hawaii. 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.

Illinois· 23rd of 51

$617

CA $4,074HI $309

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.