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Draining A Brain Abscess In The Upper Brain

South Dakota 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?

$3,311

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $3,311 for this service. Most negotiated rates run $2,630 to $3,715.

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 $3,090 · 10th to 90th $1,995 to $4,365Professionalmedian $3,311 · 10th to 90th $2,188 to $3,981
$2K$5Kfacility $3,090professional $3,311

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
$1,778.28
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,884.03
Typical High
$4,897.79
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,073.80
Typical High
$4,265.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$3,715.35
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26

Where South Dakota 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.

South Dakota· 32nd of 50

$3,311

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.