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Planned Tracheostomy In A Child Under Two

Ohio 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 Ohio, 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 $4,571 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$447$324 to $537
FacilityA hospital or hospital-owned outpatient department$4,571$1,479 to $10,233

How much rates vary

Facilitymedian $4,571 · 10th to 90th $589 to $12,589Professionalmedian $447 · 10th to 90th $251 to $813
$50$200$1K$5K$20Kfacility $4,571professional $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
$489.78
Median
$7,079.46
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,715.35
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$602.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$851.14
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$426.58
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,570.88
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$446.68
Typical High
$851.14

Where Ohio 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.

Ohio· 43rd 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.