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Circumcision, Beyond Newborn Period

West Virginia 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 October 2026.

How much does Circumcision, Beyond Newborn Period cost?

$1,670

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $1,670 for this procedure. That total is two separate charges: $257 to the doctor who performs it, and $1,413 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$257$200 to $380
Facility feeThe hospital or surgery center$1,413$219 to $2,692

How much rates vary

Facilitymedian $1,413 · 10th to 90th $219 to $8,710Professionalmedian $257 · 10th to 90th $170 to $589
$200$500$1K$2K$5K$10Kfacility $1,413professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$218.78
CareSource
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$537.03
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$309.03
Typical High
$1,258.93
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$8,709.64
Typical High
$17,378.01
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$5,888.44
United
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$229.09
Typical High
$512.86

Where West Virginia sits

The same service costs 14.2 times more in Vermont than in Montana. 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.

Physician feeFacility fee

West Virginia· 39th of 51

$1,670

$257 physician + $1,413 facility

VT $8,800MT $618

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.