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Light-Based Scan Of A Skin Lesion

Wisconsin rates for HCPCS 0470T

A handheld scanner is held against the skin and uses light waves to build cross-sectional pictures of the layers just below the surface, so the structure of a lesion can be examined without cutting it out. The images are reviewed and a report is written. It covers the first lesion examined in the session.

Rates data updated July 2026.

How much does Light-Based Scan Of A Skin Lesion cost?

$151

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $209 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$151$132 to $151
FacilityA hospital or hospital-owned outpatient department$209$81.28 to $245

How much rates vary

Facilitymedian $209 · 10th to 90th $36 to $245Professionalmedian $151 · 10th to 90th $132 to $468
$50$100$200$500facility $209professional $151

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Quartz
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$53.70
Typical High
$114.82

Where Wisconsin sits

The same service costs 1995.3 times more in Kentucky than in Wyoming. 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.

Wisconsin· 18th of 39

$151

KY $56,234WY $28.18

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.