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Complex Repair Of Brain Vessel Tangle, Lower Brain

Massachusetts rates for HCPCS 61686

Open surgery to remove an abnormal tangle of arteries and veins in the lower and rear part of the brain, in a case that is large or has a complicated pattern of feeding and draining vessels. These tangles let blood rush straight from arteries into veins without passing through normal small vessels, and they can bleed. It is demanding neurosurgery under general anesthesia with intensive care afterward.

Rates data updated July 2026.

How much does Complex Repair Of Brain Vessel Tangle, Lower Brain cost?

$9,470

Typical total for the visit. In Massachusetts, July 2026.

Insurers have agreed to pay about $9,470 for this procedure. That total is two separate charges: $5,754 to the doctor who performs it, and $3,715 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$5,754$4,571 to $9,772
Facility feeThe hospital or surgery center$3,715$2,818 to $5,129

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,089 to $7,762Professionalmedian $5,754 · 10th to 90th $4,365 to $12,303
$100.0$1.0K$10.0Kfacility $3,715professional $5,754

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
$2,691.53
Median
$3,715.35
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,570.88
Typical High
$12,302.69
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,548.13
Typical High
$13,489.63
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$31,622.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$7,244.36
Typical High
$12,022.64
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,495.41
Typical High
$7,943.28
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,623.41
Typical High
$7,943.28
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$7,413.10
Typical High
$11,481.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,548.13
Typical High
$13,489.63
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,311.31
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$7,585.78
Typical High
$13,182.57

Where Massachusetts sits

The same service costs 6.2 times more in Maine than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMassachusetts $9,470 · 38th of 50
ME $33,225MD $5,338

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.