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Light Therapy for Skin Lesions With Debridement

South Dakota rates for HCPCS 96574

A light-sensitizing medication is applied to abnormal, sun-damaged patches of skin, and the lesions are also scraped or debrided as part of the same visit before a special light source is used to activate the medication and destroy the treated cells. This approach targets areas of skin with early, precancerous changes before they can progress further. It's a non-surgical way to treat these patches without cutting into the skin, though the surface of the lesion is prepared with light scraping.

Rates data updated July 2026.

How much does Light Therapy for Skin Lesions With Debridement cost?

$447

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $537 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 8 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$447$282 to $589
FacilityA hospital or hospital-owned outpatient department$537$380 to $2,291

How much rates vary

Facilitymedian $537 · 10th to 90th $275 to $4,365Professionalmedian $447 · 10th to 90th $263 to $708
$200$500$1K$2Kfacility $537professional $447

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
$275.42
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$630.96
Avera
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$446.68
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$489.78
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$489.78
Typical High
$645.65
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$478.63

Where South Dakota sits

The same service costs 2.5 times more in Colorado than in Delaware. 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.

South Dakota· 8th of 51

$447

CO $692DE $275

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.