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Light-Activated Treatment For Skin Lesions

New Jersey 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 July 2026.

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

$145

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $132 to $178.

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.

How much rates vary

Professionalmedian $145 · 10th to 90th $120 to $398
$100$200$500$1K$2K$5K$10Kprofessional $145

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
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$776.25
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$151.36
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$162.18
Typical High
$354.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$204.17
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$134.90
Typical High
$239.88

Where New Jersey sits

The same service costs 2.5 times more in Alaska than in Arkansas. 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.

New Jersey· 35th of 51

$145

AK $324AR $132

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.