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Small Drill Hole In The Skull For Puncture

South Dakota 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?

$1,836

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,836 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $1,023 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$813$479 to $1,047
Facility feeThe hospital or surgery center$1,023$575 to $1,995

How much rates vary

Facilitymedian $1,023 · 10th to 90th $537 to $4,365Professionalmedian $813 · 10th to 90th $372 to $1,288
$500$1K$2Kfacility $1,023professional $813

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. 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
Global
Typical Low
$436.52
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$776.25
Typical High
$3,548.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$794.33
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$891.25
Typical High
$1,202.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$1,230.27

Where South Dakota 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

South Dakota· 44th of 50

$1,836

$813 physician + $1,023 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.