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Light-Activated Treatment For Skin Lesions

Montana rates for HCPCS 96567

A treatment session in which a light-sensitive medication applied to the skin is activated by shining a special light on the treated area, destroying precancerous skin lesions and some abnormal areas on nearby lip or mouth tissue. It is a non-surgical option for treating these lesions without cutting into the skin.

Rates data updated October 2026.

How much does Light-Activated Treatment For Skin Lesions cost?

$214

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $219 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$151 to $214
FacilityA hospital or hospital-owned outpatient department$219$214 to $229

How much rates vary

Facilitymedian $219 · 10th to 90th $191 to $257Professionalmedian $209 · 10th to 90th $129 to $229
$100$200$500facility $219professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$151.36
Typical High
$229.09
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$257.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$213.80
Typical High
$213.80
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$218.78
Typical High
$245.47
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$218.78
Typical High
$234.42
Providence
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$257.04
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$194.98
Typical High
$229.09
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$218.78
Typical High
$239.88

Where Montana sits

The same service costs 3.2 times more in Alaska than in Kentucky. 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.

Montana· 12th of 51

$214

AK $347KY $107

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.