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Focused Radiation For A Complex Brain Lesion

New Jersey 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?

$11,218

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $11,218 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $9,772 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,445$1,230 to $1,950
Facility feeThe hospital or surgery center$9,772$2,344 to $17,783

How much rates vary

Facilitymedian $9,772 · 10th to 90th $1,660 to $47,863Professionalmedian $1,445 · 10th to 90th $1,096 to $3,981
$1K$2K$5K$10K$20K$50Kfacility $9,772professional $1,445

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
$812.83
Median
$2,344.23
Typical High
$35,481.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$57,543.99
Typical High
$64,565.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,949.84
Typical High
$4,897.79
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,041.74
Typical High
$2,570.40
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$12,302.69
Typical High
$16,982.44
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$9,332.54
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,698.24
Typical High
$2,884.03

Where New Jersey 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

New Jersey· 7th of 49

$11,218

$1,445 physician + $9,772 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.