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Newborn Circumcision By Surgical Excision

West Virginia 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?

$224

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $1,047 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 5 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$219$162 to $269
FacilityA hospital or hospital-owned outpatient department$1,047$214 to $1,096

How much rates vary

Facilitymedian $1,047 · 10th to 90th $148 to $1,096Professionalmedian $219 · 10th to 90th $148 to $309
$200$500$1K$2Kfacility $1,047professional $219

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
$147.91
Median
$1,047.13
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$309.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$186.21
CareSource
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$1,737.80
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$2,238.72
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,454.71
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$389.05

Where West Virginia 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.

West Virginia· 48th of 51

$224

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.