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Planned Tracheostomy In A Child Under Two

Maine 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?

$550

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $468 to $646.

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.

How much rates vary

Facilitymedian $12,023 · 10th to 90th $12,023 to $12,023Professionalmedian $550 · 10th to 90th $282 to $851
$500$1K$2K$5K$10Kfacility $12,023professional $550

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
Professional
Modifier
Global
Typical Low
$239.88
Median
$524.81
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$630.96
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$575.44
Typical High
$1,000.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$954.99
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$1,071.52

Where Maine 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.

Maine· 32nd of 51

$550

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.