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Confocal Microscopy of a Skin Lesion

South Dakota 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?

$257

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $178 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 $257 · 10th to 90th $174 to $457
$200$500$1Kprofessional $257

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
$177.83
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$457.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$309.03
Typical High
$398.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$295.12

Where South Dakota 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.

South Dakota· 9th of 51

$257

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.