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Focused Radiation For A Complex Brain Lesion

West Virginia 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?

$2,637

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $2,637 for this procedure. That total is two separate charges: $1,318 to the doctor who performs it, and $1,318 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,318$1,259 to $1,445
Facility feeThe hospital or surgery center$1,318$1,318 to $1,318

How much rates vary

Facilitymedian $1,318 · 10th to 90th $1,318 to $2,344Professionalmedian $1,318 · 10th to 90th $1,148 to $1,585
$50$100$200$500$1K$2K$5Kfacility $1,318professional $1,318

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,318.26
Typical High
$1,584.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,862.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
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
$1,258.93
Median
$1,949.84
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,466.84
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,148.15
Typical High
$1,995.26

Where West Virginia 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

West Virginia· 49th of 49

$2,637

$1,318 physician + $1,318 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.