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Unlisted Skin Treatment or Procedure

Pennsylvania 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?

$191

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $219 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 9 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$186$0.28 to $269
FacilityA hospital or hospital-owned outpatient department$219$162 to $263

How much rates vary

Facilitymedian $219 · 10th to 90th $58 to $447Professionalmedian $186 · 10th to 90th $0 to $331
$1$10$100$1K$10Kfacility $219professional $186

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
$151.36
Median
$218.78
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.20
Median
$186.21
Typical High
$281.84
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$57,543.99
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$446.68
Typical High
$537.03
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$263.03
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$346.74
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$575.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.20
Median
$186.21
Typical High
$281.84
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$57.54
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$478.63
Typical High
$660.69

Where Pennsylvania 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.

Pennsylvania· 37th of 49

$191

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.