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Pituitary Gland Or Tumor Removal Through Skull

North Dakota rates for HCPCS 61546

Removes the pituitary gland, or a tumor growing from it, by opening the skull and working down to the base of the brain where the gland sits. This route is chosen when the growth extends beyond the reach of an approach through the nose, for instance when it presses on the optic nerves or spreads sideways. It is major neurosurgery under general anesthesia, with intensive care monitoring and a hospital stay afterward.

Rates data updated October 2026.

How much does Pituitary Gland Or Tumor Removal Through Skull cost?

$4,365

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $2,188 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$4,467$3,890 to $5,248
FacilityA hospital or hospital-owned outpatient department$2,188$1,288 to $2,344

How much rates vary

Facilitymedian $2,188 · 10th to 90th $759 to $3,090Professionalmedian $4,467 · 10th to 90th $2,399 to $5,754
$100$200$500$1K$2K$5Kfacility $2,188professional $4,467

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
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,187.76
Typical High
$2,290.87
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$5,011.87
Typical High
$6,025.60
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$4,677.35
Median
$6,025.60
Typical High
$7,244.36
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$4,168.69
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$389.05
Median
$501.19
Typical High
$602.56
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$2,951.21
Median
$3,801.89
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$4,365.16
Typical High
$7,079.46
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$2,187.76
Typical High
$3,715.35
Medica
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$3,981.07
Typical High
$4,677.35
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$4,168.69
Typical High
$5,011.87

Where North Dakota sits

The same service costs 7.6 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.

North Dakota· 9th of 51

$4,365

AK $9,550TX $1,259

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.