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Small Drill Hole In The Skull For Puncture

Massachusetts 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?

$3,449

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

Insurers have agreed to pay about $3,449 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $2,818 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$631$513 to $1,148
Facility feeThe hospital or surgery center$2,818$794 to $3,715

How much rates vary

Facilitymedian $2,818 · 10th to 90th $479 to $5,623Professionalmedian $631 · 10th to 90th $447 to $1,413
$100$500$2K$10Kfacility $2,818professional $631

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
$478.63
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$478.63
Typical High
$1,380.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,778.28
Typical High
$4,073.80
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$691.83
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,288.25
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$933.25
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$870.96
Typical High
$1,318.26
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,778.28
Typical High
$4,073.80
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$691.83
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,884.03
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,513.56

Where Massachusetts 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

Massachusetts· 28th of 50

$3,449

$631 physician + $2,818 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.