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Simple Revision of a Neck Breathing Opening

Virginia 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.

How much does Simple Revision of a Neck Breathing Opening cost?

$3,236

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $631 to $6,026.

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.

How much rates vary

Facilitymedian $3,467 · 10th to 90th $501 to $8,710Professionalmedian $525 · 10th to 90th $389 to $1,047
$500$1K$2K$5K$10Kfacility $3,467professional $525

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
$524.81
Median
$3,630.78
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$1,230.27
Medcost
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$912.01
Sentara
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,456.54
Typical High
$13,489.63

Where Virginia sits

The same service costs 17.8 times more in Indiana than in West Virginia. 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.

Virginia· 25th of 50

$3,236

IN $7,244WV $407

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.