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Brain Cyst Removal Or Drainage, Upper Brain

New York 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 July 2026.

Facilitymedian $7,244 · 10th–90th $2,239$16,5960%10%10th90th$7,244$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,388.44
Typical High
$12,022.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$19,054.61
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,162.28
Typical High
$7,762.47
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,413.10
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$53,703.18
Typical High
$87,096.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,073.80
Typical High
$8,912.51
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$7,762.47