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Confocal Microscopy of a Skin Lesion

Texas 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?

$174

Typical physician fee. In Texas, July 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $158 to $204.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $174 · 10th to 90th $138 to $257
$100$200$500$1Kprofessional $174

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
$138.04
Median
$169.82
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$199.53
Typical High
$295.12
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$1,412.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$251.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$223.87

Where Texas 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.

Texas· 39th of 51

$174

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.