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Extensive Infant Skull Surgery, Several Fused Joints

Wisconsin rates for HCPCS 61559

When several of the fibrous joints between an infant's skull bones have fused too early, the skull cannot grow with the brain and the head becomes badly misshapen. In this extensive operation the surgeon takes off and reshapes large sections of the skull, making multiple cuts in the bone to recontour it, and uses pieces of the child's own bone as grafts to fill and support the rebuilt shape. It is carried out by a specialized surgical team, typically within the first year of life.

Rates data updated July 2026.

How much does Extensive Infant Skull Surgery, Several Fused Joints cost?

$6,457

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $14,791 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 11 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$4,169$2,754 to $7,079
FacilityA hospital or hospital-owned outpatient department$14,791$11,749 to $19,498

How much rates vary

Facilitymedian $14,791 · 10th to 90th $5,623 to $26,303Professionalmedian $4,169 · 10th to 90th $2,042 to $10,000
$100.0$1.0K$10.0Kfacility $14,791professional $4,169

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
$2,041.74
Median
$4,570.88
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,235.94
Typical High
$6,309.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,218.10
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$4,265.80
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$6,760.83
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$8,709.64
Typical High
$10,000.00
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$7,244.36
Typical High
$13,489.63
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,495.41
Typical High
$6,918.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,801.89
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,890.45
Typical High
$16,595.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,511.89
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,715.35
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,623.41
Typical High
$9,772.37
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$4,570.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$6,025.60
Typical High
$8,511.38
Quartz
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$14,454.40
Typical High
$14,454.40
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$8,709.64
Typical High
$16,595.87
Security Health
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Security Health
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$12,882.50
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,754.40
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,715.35
Typical High
$9,772.37

Where Wisconsin sits

The same service costs 4.0 times more in California than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $6,457 · 4th of 51
CA $8,710OK $2,188

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.