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Unlisted Skin Treatment or Procedure

Virginia 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?

$282

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $234 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 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$234$178 to $302
FacilityA hospital or hospital-owned outpatient department$437$132 to $575

How much rates vary

Facilitymedian $437 · 10th to 90th $110 to $776Professionalmedian $234 · 10th to 90th $178 to $331
$100$200$500$1K$2K$5K$10Kfacility $437professional $234

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
$109.65
Median
$436.52
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$151.36
Typical High
$478.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Sentara
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,000.00
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$10,000.00
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$389.05
Typical High
$933.25

Where Virginia 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.

Virginia· 29th of 49

$282

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.