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Brain Surgery To Remove A Seizure Focus

South Dakota 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?

$5,012

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,495 from a physician practice, and about $1,202 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,495$3,890 to $6,026
FacilityA hospital or hospital-owned outpatient department$1,202$759 to $3,388

How much rates vary

Facilitymedian $1,202 · 10th to 90th $759 to $4,266Professionalmedian $5,495 · 10th to 90th $2,455 to $6,607
$1K$2K$5K$10Kfacility $1,202professional $5,495

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
$2,454.71
Median
$2,454.71
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$5,495.41
Typical High
$6,760.83
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$2,884.03
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$6,309.57
Typical High
$18,197.01
Midlands
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,888.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$4,365.16
Typical High
$5,128.61
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$5,888.44
Typical High
$6,606.93
Wellmark
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$6,025.60
Typical High
$6,025.60

Where South Dakota 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.

South Dakota· 5th of 51

$5,012

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.