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Small Drill Hole In The Skull For Puncture

Missouri 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?

$4,779

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

Insurers have agreed to pay about $4,779 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $4,266 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$468 to $724
Facility feeThe hospital or surgery center$4,266$2,512 to $5,623

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,479 to $8,511Professionalmedian $513 · 10th to 90th $389 to $1,318
$500$1K$2K$5K$10Kfacility $4,266professional $513

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
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$954.99
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,818.38
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,071.52

Where Missouri 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

Missouri· 17th of 50

$4,779

$513 physician + $4,266 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.