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Newborn Circumcision By Surgical Excision

Illinois rates for HCPCS 54160

Removes the foreskin of a newborn baby boy by cutting it away with instruments, rather than by crushing it with a clamp or plastic device. It is done in the first weeks of life with numbing medicine, and the edge is closed or dressed. Healing usually takes a week or two.

Rates data updated July 2026.

How much does Newborn Circumcision By Surgical Excision cost?

$257

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $1,549 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 7 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$234$174 to $309
FacilityA hospital or hospital-owned outpatient department$1,549$589 to $3,631

How much rates vary

Facilitymedian $1,549 · 10th to 90th $245 to $5,623Professionalmedian $234 · 10th to 90th $141 to $427
$200$500$1K$2K$5K$10Kfacility $1,549professional $234

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
$245.47
Median
$1,548.82
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$380.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$338.84
Typical High
$933.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$181.97
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$3,162.28
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$436.52

Where Illinois sits

The same service costs 8.7 times more in Hawaii than in Delaware. 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.

Illinois· 32nd of 51

$257

HI $1,862DE $214

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.