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Brain Cyst Removal Or Drainage, Upper Brain

Iowa 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?

$7,143

Typical total for the visit. In Iowa, October 2026.

Insurers have agreed to pay about $7,143 for this procedure. That total is two separate charges: $3,981 to the doctor who performs it, and $3,162 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,981$2,692 to $4,467
Facility feeThe hospital or surgery center$3,162$1,514 to $4,898

How much rates vary

Facilitymedian $3,162 · 10th to 90th $603 to $6,607Professionalmedian $3,981 · 10th to 90th $2,042 to $5,623
$100$500$2K$10Kfacility $3,162professional $3,981

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$5,888.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$4,265.80
Typical High
$5,248.07
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,884.03
Typical High
$5,128.61
Medica
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$3,162.28
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$4,168.69
Typical High
$15,848.93
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,265.80
Typical High
$5,248.07
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$5,011.87
Typical High
$5,754.40
United
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$2,344.23
Typical High
$6,918.31
United
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$3,019.95
Typical High
$5,623.41
Wellmark
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,265.80

Where Iowa sits

The same service costs 13.4 times more in Maine than in Maryland. 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.

Physician feeFacility fee

Iowa· 14th of 51

$7,143

$3,981 physician + $3,162 facility

ME $34,930MD $2,604

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.