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Simple Revision of a Neck Breathing Opening

West 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 October 2026.

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

$2,055

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $2,055 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $1,479 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$575$407 to $977
Facility feeThe hospital or surgery center$1,479$1,259 to $2,455

How much rates vary

Facilitymedian $1,479 · 10th to 90th $676 to $3,981Professionalmedian $575 · 10th to 90th $339 to $1,230
$500$1K$2K$5K$10Kfacility $1,479professional $575

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
$1,621.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$416.87
CareSource
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$676.08
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$616.60
Typical High
$3,162.28
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$9,332.54
United
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$478.63
Typical High
$977.24

Where West Virginia sits

The same service costs 4.1 times more in Oklahoma than in Montana. 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.

Physician feeFacility fee

West Virginia· 40th of 51

$2,055

$575 physician + $1,479 facility

OK $5,653MT $1,368

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.