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Opening The Skull To Interrupt A Brain Pathway

Iowa rates for HCPCS 61490

An operation in which a section of the skull is opened so the surgeon can reach deep inside the brain and deliberately interrupt a nerve pathway there. It is done under general anesthesia, and the piece of bone is put back in place at the end.

Rates data updated July 2026.

How much does Opening The Skull To Interrupt A Brain Pathway cost?

$3,802

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $3,631 to $4,786.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,236 · 10th to 90th $2,089 to $6,607Professionalmedian $3,802 · 10th to 90th $2,630 to $8,318
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,236professional $3,802

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$4,786.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$3,981.07
Typical High
$4,570.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,235.94
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,630.78
Typical High
$8,317.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78

Where Iowa sits

The same service costs 302.0 times more in New York than in Illinois. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $3,802 · 11th of 33
NY $60,256IL $200

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.