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Opening The Skull To Remove A Clot Inside The Brain

North Dakota 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?

$5,753

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $5,753 for this procedure. That total is two separate charges: $3,890 to the doctor who performs it, and $1,862 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,890$3,388 to $4,571
Facility feeThe hospital or surgery center$1,862$1,288 to $2,344

How much rates vary

Facilitymedian $1,862 · 10th to 90th $759 to $2,692Professionalmedian $3,890 · 10th to 90th $2,089 to $5,012
$100$200$500$1K$2K$5Kfacility $1,862professional $3,890

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
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,862.09
Typical High
$2,187.76
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$5,248.07
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$4,073.80
Median
$5,248.07
Typical High
$6,309.57
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$2,398.83
Median
$3,090.30
Typical High
$3,630.78
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$338.84
Median
$436.52
Typical High
$524.81
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$2,570.40
Median
$3,311.31
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$3,801.89
Typical High
$6,025.60
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,862.09
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$3,467.37
Typical High
$4,073.80
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$3,548.13
Typical High
$4,265.80

Where North Dakota sits

The same service costs 13.8 times more in Maine than in Washington. 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

North Dakota· 21st of 51

$5,753

$3,890 physician + $1,862 facility

ME $35,114WA $2,549

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.