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Brain Cyst Removal Or Drainage, Upper Brain

Pennsylvania 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 $4,571 · 10th–90th $1,023$8,3180%10%10th90th$4,571$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$1,047.13
Median
$4,786.30
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,981.07
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$7,079.46