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Simple Revision of a Neck Breathing Opening

South Dakota rates for HCPCS 31613

Reshapes or repairs the surgical opening in the neck that a person breathes through, when it has narrowed, scarred, or healed into a shape that causes problems. The surgeon trims and re-sews the edges so the opening stays the right size and stays easy to use. This is the straightforward version, done without rotating a flap of nearby skin into the opening.

Rates data updated July 2026.

Facilitymedian $1,175 · 10th–90th $525$4,3650%10%10th90th$1,175Professionalmedian $759 · 10th–90th $513$8910%20%10th90th$759$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$3,090.30
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,000.00
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,760.83