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Circumcision, Beyond Newborn Period

Michigan rates for HCPCS 54161

Surgical circumcision performed on someone older than 28 days of age, removing the foreskin using a surgical excision technique rather than a clamp or specialized newborn device. It's typically done under sedation or anesthesia given the age of the patient.

Rates data updated July 2026.

How much does Circumcision, Beyond Newborn Period cost?

$5,149

Typical total for the visit. In Michigan, July 2026.

Insurers have agreed to pay about $5,149 for this procedure. That total is two separate charges: $251 to the doctor who performs it, and $4,898 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$251$195 to $302
Facility feeThe hospital or surgery center$4,898$2,884 to $7,943

How much rates vary

Facilitymedian $4,898 · 10th to 90th $263 to $8,913Professionalmedian $251 · 10th to 90th $178 to $603
$1.0$10.0$100.0$1.0K$10.0Kfacility $4,898professional $251

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
$263.03
Median
$5,495.41
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$630.96
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$588.84
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$371.54
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$4,168.69
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$331.13

Where Michigan sits

The same service costs 14.7 times more in Wyoming than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMichigan $5,149 · 16th of 51
WY $8,574MT $584

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.