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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 July 2026.

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

$447

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $437 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 4 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$437 to $525
FacilityA hospital or hospital-owned outpatient department$437$437 to $676

How much rates vary

Facilitymedian $437 · 10th to 90th $437 to $1,413Professionalmedian $447 · 10th to 90th $251 to $525
$50$200$1K$5Kfacility $437professional $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
$436.52
Median
$436.52
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$446.68
Typical High
$524.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$575.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$645.65

Where West Virginia 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.

West Virginia· 46th of 51

$447

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.