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Brain Cyst Removal Or Drainage, Upper Brain

Washington, DC rates for HCPCS 61516

Opens the skull to reach a fluid-filled cyst in the upper part of the brain and either takes it out or cuts a lasting opening in its wall so the fluid drains into the surrounding spaces. Relieving the cyst takes pressure off the brain tissue around it. The opening may be a small drilled hole, a piece of bone taken out and left out, or a bone flap lifted and put back at the end.

Rates data updated October 2026.

How much does Brain Cyst Removal Or Drainage, Upper Brain cost?

$2,042

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $2,042 for this service. Most negotiated rates run $1,862 to $2,570.

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 $1,950 · 10th to 90th $427 to $6,310Professionalmedian $2,042 · 10th to 90th $1,778 to $4,786
$500$1K$2K$5K$10Kfacility $1,950professional $2,042

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,412.54
Median
$1,949.84
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,949.84
Typical High
$2,089.30
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,454.71
Typical High
$5,128.61
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$3,890.45
Typical High
$4,466.84
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,412.54
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,570.40
Typical High
$5,370.32

Where Washington, DC sits

The same service costs 5.9 times more in Alaska than in Texas. 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.

Washington, DC· 40th of 51

$2,042

AK $7,762TX $1,318

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.