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Planned Tracheostomy In A Child Under Two

Massachusetts 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?

$537

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $3,090 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 8 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$479$389 to $891
FacilityA hospital or hospital-owned outpatient department$3,090$646 to $4,898

How much rates vary

Facilitymedian $3,090 · 10th to 90th $204 to $8,511Professionalmedian $479 · 10th to 90th $251 to $1,259
$100.0$1.0K$10.0Kfacility $3,090professional $479

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
$204.17
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$1,096.48
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,801.89
Typical High
$15,135.61
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$676.08
Typical High
$1,348.96
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$660.69
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$1,202.26
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,801.89
Typical High
$15,135.61
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$776.25
Typical High
$2,041.74

Where Massachusetts sits

The same service costs 13.2 times more in California than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $537 · 33rd of 51
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.