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Opening The Skull To Interrupt A Brain Pathway

Wisconsin 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?

$3,388

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $3,388 from a physician practice, and about $4,898 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,388$2,951 to $4,365
FacilityA hospital or hospital-owned outpatient department$4,898$3,890 to $5,754

How much rates vary

Facilitymedian $4,898 · 10th to 90th $2,455 to $7,244Professionalmedian $3,388 · 10th to 90th $2,951 to $8,318
$100$200$500$1K$2K$5K$10Kfacility $4,898professional $3,388

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
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,388.44
Typical High
$4,073.80
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,454.71
Typical High
$3,890.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,454.71
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$8,317.64
Typical High
$8,317.64
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,454.71
Typical High
$3,890.45
Quartz
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,606.93
Typical High
$6,606.93
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$8,317.64
Typical High
$8,317.64

Where Wisconsin sits

The same service costs 302.0 times more in New York than in Illinois. 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.

Wisconsin· 14th of 33

$3,388

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.