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Planned Tracheostomy In A Child Under Two

New Jersey 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?

$490

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $6,918 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 5 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$447$331 to $537
FacilityA hospital or hospital-owned outpatient department$6,918$4,571 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,259 to $12,303Professionalmedian $447 · 10th to 90th $251 to $1,023
$200$500$1K$2K$5K$10K$20Kfacility $6,918professional $447

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
$758.58
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$446.68
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$478.63
Typical High
$1,000.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$707.95
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,218.10
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$436.52
Typical High
$851.14

Where New Jersey 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.

New Jersey· 42nd of 51

$490

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.