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Newborn Circumcision By Surgical Excision

Montana 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?

$245

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $324 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 6 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$240$166 to $355
FacilityA hospital or hospital-owned outpatient department$324$251 to $380

How much rates vary

Facilitymedian $324 · 10th to 90th $245 to $417Professionalmedian $240 · 10th to 90th $148 to $550
$200$500$1Kfacility $324professional $240

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
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$229.09
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$363.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$407.38
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$407.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$229.09
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$512.86

Where Montana 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.

Montana· 40th of 51

$245

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.