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Opening The Skull To Remove A Clot Inside The Brain

Washington, DC rates for HCPCS 61313

Opens the skull over the upper part of the brain to remove a blood clot that has formed within the brain tissue itself. Taking the clot out relieves pressure and limits damage to the brain around it. It is done urgently after a bleed into the brain, whether caused by high blood pressure, an injury, or an abnormal blood vessel.

Rates data updated October 2026.

How much does Opening The Skull To Remove A Clot Inside The Brain cost?

$2,188

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $2,188 for this service. Most negotiated rates run $1,995 to $2,951.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,042 · 10th to 90th $427 to $6,310Professionalmedian $2,188 · 10th to 90th $1,905 to $5,248
$500$1K$2K$5K$10Kfacility $2,042professional $2,188

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,412.54
Median
$2,041.74
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$5,248.07
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,187.76
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,511.89
Typical High
$5,495.41
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$4,168.69
Typical High
$4,786.30
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,412.54
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,691.53
Typical High
$5,623.41

Where Washington, DC sits

The same service costs 6.8 times more in Alaska than in Texas. 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.

Washington, DC· 38th of 51

$2,188

AK $8,128TX $1,202

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.