# CPT 61697: Surgery of complex intracranial aneurysm, intracranial approach

Medicare CPT 61697 pays $4,004.43 in a non-facility setting and $4,004.43 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $3,358.06 in Wisconsin to $4,830.74 in Florida, a 44% spread.

Web page: https://www.med-reveal.com/rates/61697-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $4,004.43 |
| National facility | $4,004.43 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Florida | $4,830.74 | $4,830.74 |
| Illinois | $4,767.27 | $4,767.27 |
| Alaska | $4,716.22 | $4,716.22 |
| New York | $4,538.58 | $4,538.58 |
| District of Columbia | $4,404.69 | $4,404.69 |
| New Jersey | $4,317.36 | $4,317.36 |
| Connecticut | $4,310.67 | $4,310.67 |
| Michigan | $4,293.29 | $4,293.29 |
| West Virginia | $4,238.78 | $4,238.78 |
| Maryland | $4,144.13 | $4,144.13 |
| Georgia | $4,129.06 | $4,129.06 |
| New Mexico | $4,090.27 | $4,090.27 |
| Pennsylvania | $4,061.04 | $4,061.04 |
| Massachusetts | $4,059.48 | $4,059.48 |
| Washington | $4,035.97 | $4,035.97 |
| Puerto Rico | $4,003.17 | $4,003.17 |
| Virgin Islands | $4,003.17 | $4,003.17 |
| Montana | $4,002.70 | $4,002.70 |
| Rhode Island | $3,985.13 | $3,985.13 |
| Louisiana | $3,952.15 | $3,952.15 |
| New Hampshire | $3,939.69 | $3,939.69 |
| Texas | $3,937.39 | $3,937.39 |
| Ohio | $3,918.25 | $3,918.25 |
| Delaware | $3,914.13 | $3,914.13 |
| Colorado | $3,907.39 | $3,907.39 |
| Missouri | $3,902.68 | $3,902.68 |
| California | $3,876.87 | $3,876.87 |
| Nevada | $3,860.37 | $3,860.37 |
| Utah | $3,851.56 | $3,851.56 |
| Arizona | $3,846.10 | $3,846.10 |
| Oregon | $3,837.92 | $3,837.92 |
| Kentucky | $3,811.74 | $3,811.74 |
| South Carolina | $3,792.71 | $3,792.71 |
| Hawaii | $3,785.20 | $3,785.20 |
| Wyoming | $3,778.47 | $3,778.47 |
| Virginia | $3,730.72 | $3,730.72 |
| Oklahoma | $3,696.08 | $3,696.08 |
| Maine | $3,632.19 | $3,632.19 |
| Mississippi | $3,628.80 | $3,628.80 |
| North Carolina | $3,618.97 | $3,618.97 |
| Vermont | $3,564.40 | $3,564.40 |
| Tennessee | $3,504.63 | $3,504.63 |
| Alabama | $3,493.44 | $3,493.44 |
| North Dakota | $3,488.19 | $3,488.19 |
| Indiana | $3,479.57 | $3,479.57 |
| Kansas | $3,470.60 | $3,470.60 |
| Idaho | $3,460.78 | $3,460.78 |
| Arkansas | $3,431.98 | $3,431.98 |
| South Dakota | $3,427.36 | $3,427.36 |
| Minnesota | $3,423.64 | $3,423.64 |
| Iowa | $3,389.38 | $3,389.38 |
| Nebraska | $3,381.43 | $3,381.43 |
| Wisconsin | $3,358.06 | $3,358.06 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 61697 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules