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Planned Tracheostomy In A Child Under Two

North Carolina 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?

$513

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $955 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 $813
FacilityA hospital or hospital-owned outpatient department$955$437 to $5,248

How much rates vary

Facilitymedian $955 · 10th to 90th $372 to $8,710Professionalmedian $513 · 10th to 90th $295 to $1,096
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $955professional $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
$338.84
Median
$954.99
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$549.54
Typical High
$977.24
Medcost
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$851.14
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$16,982.44
Typical High
$16,982.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,715.35

Where North Carolina 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.

North Carolina $513 · 38th 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.