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Opening The Back Of The Skull To Free A Nerve

Alaska rates for HCPCS 61458

Removes a small area of bone at the back and base of the skull to reach the nerves that leave the brain stem, and frees them from whatever is pressing on them. It is used for problems such as severe facial pain or uncontrollable facial twitching caused by a blood vessel resting against a nerve.

Rates data updated July 2026.

How much does Opening The Back Of The Skull To Free A Nerve cost?

$3,548

Typical facility fee. In Alaska, July 2026.

Insurers have agreed to pay about $3,548 for this service. Most negotiated rates run $2,692 to $9,333.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,548 · 10th to 90th $2,239 to $13,183
$2K$5K$10Kfacility $3,548

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
$5,754.40
Median
$9,772.37
Typical High
$16,595.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,951.21
Typical High
$12,882.50
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,951.21
Typical High
$12,882.50

Where Alaska 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.

Alaska· 33rd of 50

$3,548

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.