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Planned Tracheostomy In A Child Under Two

South Dakota 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?

$724

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $708 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 7 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$724$427 to $1,023
FacilityA hospital or hospital-owned outpatient department$708$537 to $4,365

How much rates vary

Facilitymedian $708 · 10th to 90th $447 to $4,365Professionalmedian $724 · 10th to 90th $339 to $1,259
$500$1K$2K$5K$10Kfacility $708professional $724

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,122.02
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$724.44
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$676.08
Typical High
$1,174.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$933.25

Where South Dakota 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 Dakota· 18th of 51

$724

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.