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Brain Surgery To Remove A Seizure Focus

Missouri rates for HCPCS 61536

An operation in which the skull is opened so the surgeon can remove the small area of brain tissue where a person's seizures start. It is offered to people whose epilepsy has not been controlled by medication, once testing has located the area responsible.

Rates data updated July 2026.

How much does Brain Surgery To Remove A Seizure Focus cost?

$3,467

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $4,467 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 6 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$2,570 to $3,890
FacilityA hospital or hospital-owned outpatient department$4,467$2,818 to $6,026

How much rates vary

Facilitymedian $4,467 · 10th to 90th $2,089 to $10,000Professionalmedian $2,884 · 10th to 90th $2,138 to $5,012
$1K$2K$5K$10K$20Kfacility $4,467professional $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. 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
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,570.40
Typical High
$4,897.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,786.30
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,162.28
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$3,467.37
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$3,235.94
Typical High
$11,220.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,073.80
Typical High
$18,197.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,884.03
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,801.89
Typical High
$6,165.95

Where Missouri sits

The same service costs 3.9 times more in California than in Oklahoma. 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.

Missouri· 27th of 51

$3,467

CA $9,333OK $2,399

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.