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Newborn Circumcision By Surgical Excision

North Carolina 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?

$263

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $339 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$257$186 to $380
FacilityA hospital or hospital-owned outpatient department$339$214 to $1,202

How much rates vary

Facilitymedian $339 · 10th to 90th $141 to $7,079Professionalmedian $257 · 10th to 90th $145 to $550
$200$500$1K$2K$5K$10Kfacility $339professional $257

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
$141.25
Median
$346.74
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$478.63
Medcost
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$426.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$229.09
Typical High
$426.58
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,862.09

Where North Carolina 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.

North Carolina· 30th of 51

$263

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.