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Unlisted Skin Treatment or Procedure

Iowa rates for HCPCS 96999

Covers a specialized treatment applied to the skin that has no standard named entry of its own. It is used for uncommon or newly developed skin treatments given in a clinic or office setting. The provider submits a written description of exactly what was done.

Rates data updated July 2026.

How much does Unlisted Skin Treatment or Procedure cost?

$417

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $437 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$63.10 to $676
FacilityA hospital or hospital-owned outpatient department$437$389 to $513

How much rates vary

Facilitymedian $437 · 10th to 90th $288 to $550Professionalmedian $251 · 10th to 90th $25 to $912
$5$20$100$500facility $437professional $251

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$436.52
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$251.19
Typical High
$912.01
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23

Where Iowa sits

The same service costs 12.0 times more in Oklahoma than in North Dakota. 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.

Iowa· 16th of 49

$417

OK $776ND $64.57

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.