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Confocal Microscopy of a Skin Lesion

Washington 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 Washington, July 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $229 to $372.

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 $257 · 10th to 90th $158 to $479
$50$100$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
$245.47
Typical High
$489.78
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$457.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$478.63
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$478.63
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$371.54

Where Washington 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.

Washington· 8th 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.