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Repair of a Vessel Problem Behind the Eye

Pennsylvania rates for HCPCS 61613

Delicate surgery inside the cavernous sinus, a blood-filled space at the base of the skull just behind the eyes, to seal off an abnormal blood vessel problem involving the carotid artery there. The surgeon dissects within this space to close a bulge, a tangle of vessels, or an abnormal connection between artery and vein. Several nerves that control eye movement run through the same narrow space.

Rates data updated July 2026.

How much does Repair of a Vessel Problem Behind the Eye cost?

$3,388

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $5,370 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 9 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$3,311$3,020 to $3,981
FacilityA hospital or hospital-owned outpatient department$5,370$3,311 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,096 to $8,511Professionalmedian $3,311 · 10th to 90th $2,818 to $5,623
$1K$2K$5K$10K$20Kfacility $5,370professional $3,311

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
$1,412.54
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,162.28
Typical High
$4,677.35
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$5,011.87
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$3,981.07
Typical High
$6,456.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,888.44
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,073.80
Typical High
$6,309.57
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,388.44
Typical High
$6,606.93
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,388.44
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,235.94
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,235.94
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,073.80
Typical High
$6,606.93

Where Pennsylvania sits

The same service costs 4.4 times more in Wyoming than in Oklahoma. 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.

Pennsylvania· 42nd of 51

$3,388

WY $12,882OK $2,951

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.