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Small Drill Hole In The Skull For Puncture

Virginia 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?

$4,506

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

Insurers have agreed to pay about $4,506 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $3,981 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$490 to $661
Facility feeThe hospital or surgery center$3,981$759 to $5,754

How much rates vary

Facilitymedian $3,981 · 10th to 90th $513 to $7,413Professionalmedian $525 · 10th to 90th $427 to $1,096
$500$1K$2K$5K$10Kfacility $3,981professional $525

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
$524.81
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,248.07
Typical High
$7,244.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$870.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$1,548.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$954.99
Sentara
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$5,623.41
Sentara
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$912.01

Where Virginia 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

Virginia· 18th of 50

$4,506

$525 physician + $3,981 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.