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Planned Tracheostomy In A Child Under Two

Pennsylvania 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?

$468

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $5,012 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$447$257 to $513
FacilityA hospital or hospital-owned outpatient department$5,012$1,585 to $7,762

How much rates vary

Facilitymedian $5,012 · 10th to 90th $589 to $8,511Professionalmedian $447 · 10th to 90th $219 to $646
$200.0$1.0K$5.0K$20.0Kfacility $5,012professional $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
$537.03
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$446.68
Typical High
$602.56
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$758.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$645.65
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$645.65
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$457.09
Typical High
$1,412.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$363.08
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,949.84
Typical High
$3,311.31
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$436.52
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$891.25

Where Pennsylvania 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.

Pennsylvania $468 · 45th 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.