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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.

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

$3,236

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $2,754 to $3,715.

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.

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,995 to $4,365Professionalmedian $3,236 · 10th to 90th $2,138 to $3,890
$2K$5Kfacility $3,020professional $3,236

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
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

Where South Dakota sits

The same service costs 20.9 times more in Maine than in Wyoming. 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.

South Dakota· 35th of 50

$3,236

ME $26,915WY $1,288

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.