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Removal of a Seizure-Producing Area of Brain

South Dakota rates for HCPCS 61534

Brain surgery in which a section of the skull is lifted so the surgeon can remove the specific area of brain tissue where seizures start. Only that focus is taken out, rather than a whole lobe, which preserves more of the surrounding brain. The section of skull is replaced at the end of the operation.

Rates data updated July 2026.

How much does Removal of a Seizure-Producing Area of Brain cost?

$2,884

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2,884 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $2,570 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,884$1,698 to $3,548
FacilityA hospital or hospital-owned outpatient department$2,570$1,995 to $4,365

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,862 to $4,365Professionalmedian $2,884 · 10th to 90th $1,288 to $4,467
$2K$5Kfacility $2,570professional $2,884

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
$1,548.82
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,466.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,570.40
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,754.23
Typical High
$13,803.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,548.13
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,884.03
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$3,090.30
Typical High
$4,265.80
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$3,981.07

Where South Dakota sits

The same service costs 5.8 times more in California than in West Virginia. 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· 15th of 51

$2,884

CA $9,120WV $1,585

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.