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Extensive Skull Reshaping For Fused Skull Seams

New Jersey rates for HCPCS 61558

Extensive surgery in a child whose skull bones have fused together too early along several of the growth seams, restricting brain growth and distorting the shape of the head. Sections of the skull are removed and reshaped so the brain has room to grow and the head takes a more normal form.

Rates data updated July 2026.

How much does Extensive Skull Reshaping For Fused Skull Seams cost?

$2,188

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2,188 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $6,918 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 5 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$1,950$1,698 to $2,754
FacilityA hospital or hospital-owned outpatient department$6,918$4,467 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $2,344 to $11,749Professionalmedian $1,950 · 10th to 90th $1,622 to $5,888
$100.0$500.0$2.0K$10.0Kfacility $6,918professional $1,950

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
$3,162.28
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,905.46
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,691.53
Typical High
$6,025.60
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,818.38
Typical High
$3,548.13
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,089.30
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,398.83
Typical High
$3,981.07

Where New Jersey sits

The same service costs 5.2 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $2,188 · 35th of 51
CA $9,120DE $1,738

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.