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Decompression at the Base of the Skull and Neck

Virginia rates for HCPCS 61343

Bone is removed from the back of the skull and from the top of the spine in the neck to make room where the lower brain and the spinal cord are being crowded, and the tough covering over them is often enlarged with a patch. It is done for a malformation in which the lower part of the brain sits too low and pushes into the spinal canal. Creating space restores the normal flow of fluid around the brain and cord.

Rates data updated July 2026.

How much does Decompression at the Base of the Skull and Neck cost?

$5,888

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $5,888 for this service. Most negotiated rates run $2,884 to $18,621.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $2,291 to $26,303Professionalmedian $2,754 · 10th to 90th $1,995 to $5,129
$2K$5K$10K$20Kfacility $5,888professional $2,754

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
$2,511.89
Median
$5,011.87
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$23,442.29
Typical High
$31,622.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,398.83
Typical High
$6,456.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,630.78
Typical High
$5,128.61
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$4,466.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,754.23
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46

Where Virginia 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.

Virginia· 17th of 50

$5,888

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.