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Opening The Skull To Remove A Clot Inside The Brain

Georgia 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 July 2026.

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

$5,370

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $3,388 to $10,000.

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 $5,370 · 10th to 90th $2,188 to $12,882Professionalmedian $2,630 · 10th to 90th $2,042 to $6,166
$2K$5K$10K$20Kfacility $5,370professional $2,630

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
$2,041.74
Median
$4,677.35
Typical High
$7,585.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$6,456.54
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$6,165.95
Kaiser Permanente
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,951.21
Typical High
$7,585.78

Where Georgia sits

The same service costs 20.9 times more in Maine than in Wyoming. 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.

Georgia· 17th of 50

$5,370

ME $26,915WY $1,288

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.