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Confocal Microscopy of a Skin Lesion

Massachusetts 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?

$209

Typical physician fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $182 to $363.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $209 · 10th to 90th $166 to $468
$100$200$500$1Kprofessional $209

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
$144.54
Median
$177.83
Typical High
$489.78
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$537.03
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$269.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$436.52
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$501.19

Where Massachusetts 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.

Massachusetts· 16th of 51

$209

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.