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Planned Tracheostomy In A Child Under Two

New York 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?

$813

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $5,754 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 9 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$380 to $708
FacilityA hospital or hospital-owned outpatient department$5,754$3,020 to $9,120

How much rates vary

Facilitymedian $5,754 · 10th to 90th $562 to $12,303Professionalmedian $479 · 10th to 90th $263 to $1,202
$200$500$1K$2K$5K$10Kfacility $5,754professional $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
$389.05
Median
$3,019.95
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$489.78
Typical High
$1,258.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$1,023.29
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$676.08
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$691.83
Typical High
$1,737.80
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$794.33
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$562.34
Typical High
$1,122.02
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,981.07
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$588.84
Typical High
$1,445.44
Univera
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$933.25
Univera
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$549.54
Typical High
$1,412.54

Where New York 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 York· 11th of 51

$813

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.