go back

Brain Cyst Removal Or Drainage, Upper Brain

North Dakota 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?

$5,409

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $5,409 for this procedure. That total is two separate charges: $3,631 to the doctor who performs it, and $1,778 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,631$3,236 to $4,266
Facility feeThe hospital or surgery center$1,778$1,288 to $2,344

How much rates vary

Facilitymedian $1,778 · 10th to 90th $759 to $2,570Professionalmedian $3,631 · 10th to 90th $1,950 to $4,677
$100$200$500$1K$2K$5Kfacility $1,778professional $3,631

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
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$2,691.53
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$4,073.80
Typical High
$4,897.79
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$3,890.45
Median
$4,897.79
Typical High
$5,888.44
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$2,238.72
Median
$2,884.03
Typical High
$3,388.44
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$323.59
Median
$407.38
Typical High
$489.78
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$2,398.83
Median
$3,090.30
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,548.13
Typical High
$5,754.40
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,778.28
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$3,235.94
Typical High
$3,801.89
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$3,388.44
Typical High
$4,073.80

Where North Dakota 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

North Dakota· 22nd of 51

$5,409

$3,631 physician + $1,778 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.