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Focused Radiation For A Complex Brain Lesion

Kentucky rates for HCPCS 61798

A precise, focused radiation treatment delivered to a single, complex brain lesion using a specialized machine that targets the abnormal tissue from multiple angles, without a surgical incision. It is used when the size, shape, or location of the lesion makes treatment more involved than a simple, single-target case.

Rates data updated July 2026.

How much does Focused Radiation For A Complex Brain Lesion cost?

$6,214

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

Insurers have agreed to pay about $6,214 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $5,012 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$1,202$1,072 to $1,445
Facility feeThe hospital or surgery center$5,012$1,318 to $10,715

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,318 to $11,220Professionalmedian $1,202 · 10th to 90th $813 to $2,138
$50$200$1K$5Kfacility $5,012professional $1,202

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
$1,096.48
Median
$1,318.26
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,258.93
Typical High
$2,187.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,737.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$2,089.30
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,819.70
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$2,041.74
Typical High
$6,456.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$7,413.10
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,584.89
Typical High
$2,691.53

Where Kentucky sits

The same service costs 7.0 times more in California than in West Virginia. 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

Kentucky· 22nd of 49

$6,214

$1,202 physician + $5,012 facility

CA $18,496WV $2,637

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.