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Unlisted Skin Treatment or Procedure

New York 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?

$214

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $191 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 7 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$398$64.57 to $447
FacilityA hospital or hospital-owned outpatient department$191$155 to $214

How much rates vary

Facilitymedian $191 · 10th to 90th $52 to $275Professionalmedian $398 · 10th to 90th $63 to $646
$0.1$1$10$100$1K$10Kfacility $191professional $398

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
$194.98
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$446.68
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$120.23
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$190.55
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$158.49
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$75.86
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$19.50
Univera
Setting
Professional
Modifier
Global
Typical Low
$0.10
Median
$14.13
Typical High
$52.48

Where New York 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.

New York· 35th of 49

$214

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.