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Photodynamic Therapy Through a Scope

Rhode Island rates for HCPCS 96570

Treatment that destroys abnormal tissue inside the body using light. A light-sensitive medicine given beforehand collects in the abnormal tissue, then a scope is passed in and light of a particular color is shone on the area, activating the drug and killing those cells. This covers the initial block of treatment time.

Rates data updated July 2026.

How much does Photodynamic Therapy Through a Scope cost?

$1,467

Typical total for the visit. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,467 for this procedure. That total is two separate charges: $54.95 to the doctor who performs it, and $1,413 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$54.95$52.48 to $74.13
Facility feeThe hospital or surgery center$1,413$575 to $3,715

How much rates vary

Facilitymedian $1,413 · 10th to 90th $316 to $3,981Professionalmedian $55 · 10th to 90th $52 to $87
$50$100$200$500$1K$2K$5Kfacility $1,413professional $55

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
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,412.54
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$95.50

Where Rhode Island sits

The same service costs 78.4 times more in Nebraska 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

Rhode Island· 22nd of 49

$1,467

$54.95 physician + $1,413 facility

NE $8,041WV $103

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.