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Draining A Brain Abscess In The Upper Brain

New York rates for HCPCS 61320

Opens the skull over the upper part of the brain to drain an abscess, a walled-off pocket of pus caused by infection. Letting the pus out relieves pressure on the brain and allows antibiotics to work on what remains. A sample is sent to the laboratory to identify the organism responsible so treatment can be aimed at it.

Rates data updated July 2026.

How much does Draining A Brain Abscess In The Upper Brain cost?

$7,244

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $7,244 for this service. Most negotiated rates run $3,236 to $11,749.

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.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $2,291 to $15,849
$2K$5K$10K$20K$50Kfacility $7,244

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
$1,905.46
Median
$3,388.44
Typical High
$11,481.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$19,054.61
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,235.94
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,548.13
Typical High
$7,413.10
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$53,703.18
Typical High
$87,096.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,073.80
Typical High
$8,912.51
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,187.76
Typical High
$8,128.31

Where New York 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.

New York· 13th of 50

$7,244

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.