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Confocal Microscopy of a Skin Lesion

Pennsylvania 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?

$178

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $162 to $186.

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.

How much rates vary

Professionalmedian $178 · 10th to 90th $151 to $245
$200$500$1Kprofessional $178

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
$154.88
Median
$177.83
Typical High
$245.47
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$316.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$229.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$199.53
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$323.59

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$178

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.