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Planned Tracheostomy In A Child Under Two

South 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?

$537

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $6,166 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$479$380 to $537
FacilityA hospital or hospital-owned outpatient department$6,166$1,047 to $10,471

How much rates vary

Facilitymedian $6,166 · 10th to 90th $537 to $21,878Professionalmedian $479 · 10th to 90th $251 to $813
$50$200$1K$5K$20Kfacility $6,166professional $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
$537.03
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$537.03
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$6,606.93
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$977.24
Medcost
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$10,964.78
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$794.33

Where South Carolina 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.

South Carolina· 34th of 51

$537

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.