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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 October 2026.

How much does Brain Cyst Removal Or Drainage, Upper Brain cost?

$5,183

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

Insurers have agreed to pay about $5,183 for this procedure. That total is two separate charges: $3,981 to the doctor who performs it, and $1,202 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$2,951 to $4,467
Facility feeThe hospital or surgery center$1,202$759 to $2,455

How much rates vary

Facilitymedian $1,202 · 10th to 90th $759 to $3,162Professionalmedian $3,981 · 10th to 90th $1,862 to $5,012
$1K$2K$5K$10Kfacility $1,202professional $3,981

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
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,981.07
Typical High
$5,011.87
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$2,089.30
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$4,677.35
Typical High
$15,848.93
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,265.80
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,162.28
Typical High
$3,715.35
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$4,365.16
Typical High
$4,786.30
Wellmark
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$4,466.84
Typical High
$4,466.84

Where South 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

South Dakota· 23rd of 51

$5,183

$3,981 physician + $1,202 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.