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Planned Tracheostomy In A Child Under Two

West Virginia 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 October 2026.

How much does Planned Tracheostomy In A Child Under Two cost?

$479

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $1,479 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$457$363 to $676
FacilityA hospital or hospital-owned outpatient department$1,479$1,202 to $2,455

How much rates vary

Facilitymedian $1,479 · 10th to 90th $676 to $8,128Professionalmedian $457 · 10th to 90th $263 to $724
$50$200$1K$5Kfacility $1,479professional $457

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$446.68
CareSource
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$676.08
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$676.08
Typical High
$1,819.70
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$16,595.87
United
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$389.05
Typical High
$645.65

Where West Virginia sits

The same service costs 5.2 times more in Alaska than in Kentucky. 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.

West Virginia· 43rd of 51

$479

AK $1,820KY $347

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.