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Small Drill Hole In The Skull For Puncture

Alabama rates for HCPCS 61105

A narrow hole is drilled through the skull so a needle or fine tube can be passed through to reach fluid inside or just outside the brain. It is done to draw off fluid or to take a pressure reading.

Rates data updated July 2026.

How much does Small Drill Hole In The Skull For Puncture cost?

$4,423

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

Insurers have agreed to pay about $4,423 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $3,715 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$708$479 to $708
Facility feeThe hospital or surgery center$3,715$1,259 to $10,233

How much rates vary

Facilitymedian $3,715 · 10th to 90th $813 to $12,589Professionalmedian $708 · 10th to 90th $417 to $1,096
$500$1K$2K$5K$10K$20Kfacility $3,715professional $708

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
$954.99
Median
$1,258.93
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$707.95
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$10,471.29
Typical High
$14,125.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,819.70
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$758.58

Where Alabama sits

The same service costs 10.2 times more in Nebraska than in West Virginia. 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

Alabama· 20th of 50

$4,423

$708 physician + $3,715 facility

NE $9,324WV $916

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.