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Brain Surgery To Remove A Seizure Focus

Montana 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 October 2026.

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

$4,074

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $4,266 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,074$2,692 to $4,169
FacilityA hospital or hospital-owned outpatient department$4,266$3,715 to $4,266

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,445 to $4,571Professionalmedian $4,074 · 10th to 90th $79 to $4,571
$100$200$500$1K$2K$5Kfacility $4,266professional $4,074

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,630.27
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$4,265.80
Typical High
$4,897.79
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$4,265.80
Typical High
$4,570.88
Providence
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$3,467.37
Typical High
$4,168.69
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$4,365.16
Typical High
$6,165.95

Where Montana sits

The same service costs 17.0 times more in Alaska than in Texas. 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.

Montana· 14th of 51

$4,074

AK $10,471TX $617

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.