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Confocal Microscopy of a Skin Lesion

Kentucky rates for HCPCS 96931

A skin examination that uses a special microscope held against the skin to view individual cells beneath the surface without cutting or removing any tissue. It is used to assess a suspicious spot or growth and can help decide whether a biopsy is needed. This covers the examination of one lesion; further lesions looked at during the same visit are billed separately.

Rates data updated July 2026.

How much does Confocal Microscopy of a Skin Lesion cost?

$158

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $38.90 to $170.

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 $158 · 10th to 90th $33 to $182
$50$100$200$500professional $158

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
$158.49
Median
$162.18
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$38.90
Typical High
$102.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$302.00

Where Kentucky sits

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

Kentucky· 49th of 51

$158

AK $407OH $129

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.