go back

Focused Radiation For A Complex Brain Lesion

North Carolina 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?

$4,349

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $4,349 for this procedure. That total is two separate charges: $1,950 to the doctor who performs it, and $2,399 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$1,950$1,349 to $2,884
Facility feeThe hospital or surgery center$2,399$1,445 to $9,120

How much rates vary

Facilitymedian $2,399 · 10th to 90th $1,349 to $15,488Professionalmedian $1,950 · 10th to 90th $1,148 to $4,266
$1K$2K$5K$10K$20Kfacility $2,399professional $1,950

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
$1,348.96
Median
$4,466.84
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$4,466.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,698.24
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,995.26
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,995.26
Typical High
$3,467.37
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$2,398.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$14,791.08
Typical High
$26,915.35
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$2,884.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$8,511.38
Typical High
$8,511.38
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$12,302.69
Typical High
$12,302.69

Where North Carolina 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

North Carolina· 36th of 49

$4,349

$1,950 physician + $2,399 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.