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Repair Of A Skull Encephalocele

California rates for HCPCS 62120

Surgery to correct an encephalocele, where brain tissue and its covering membrane bulge out through a gap in the skull present from birth. The contents are returned or trimmed, the membrane is sealed watertight, and the bony gap in the vault of the skull is rebuilt in the same operation.

Rates data updated July 2026.

How much does Repair Of A Skull Encephalocele cost?

$14,988

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

Insurers have agreed to pay about $14,988 for this procedure. That total is two separate charges: $2,399 to the doctor who performs it, and $12,589 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 12 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,399$1,820 to $4,365
Facility feeThe hospital or surgery center$12,589$8,511 to $16,596

How much rates vary

Facilitymedian $12,589 · 10th to 90th $4,266 to $22,387Professionalmedian $2,399 · 10th to 90th $1,514 to $8,913
$100$500$2K$10Kfacility $12,589professional $2,399

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
$3,981.07
Median
$10,000.00
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,041.74
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,489.63
Typical High
$22,387.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,090.30
Typical High
$6,165.95
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$4,466.84
Typical High
$8,912.51
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$5,754.40
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$2,951.21
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$5,011.87
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$12,882.50
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$18,620.87
Typical High
$18,620.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$3,981.07
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,398.83
Typical High
$5,495.41
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,995.26
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,165.95
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,290.87
Typical High
$6,165.95

Where California sits

The same service costs 10.4 times more in Maine than in Maryland. 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.

Physician feeFacility fee

California· 6th of 50

$14,988

$2,399 physician + $12,589 facility

ME $29,607MD $2,848

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.