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Brain Cyst Removal Or Drainage, Upper Brain

South 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 July 2026.

Facilitymedian $3,020 · 10th–90th $1,995$4,3650%20%10th90th$3,020Professionalmedian $3,236 · 10th–90th $2,138$3,8900%20%10th90th$3,236$2.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,884.03
Typical High
$4,786.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,981.07
Typical High
$4,168.69
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,235.94
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26