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Unlisted Skin Treatment or Procedure

Illinois 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?

$240

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $288 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 5 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$64.57$63.10 to $347
FacilityA hospital or hospital-owned outpatient department$288$251 to $347

How much rates vary

Facilitymedian $288 · 10th to 90th $155 to $537Professionalmedian $65 · 10th to 90th $30 to $646
$50$100$200$500facility $288professional $65

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
Facility
Modifier
Global
Typical Low
$154.88
Median
$302.00
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$64.57
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$288.40
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$549.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$70.79

Where Illinois 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.

Illinois· 34th of 49

$240

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.