Application of light to destroy precancer skin growth
Medicare pricing data for 4,078 providers across 50 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Application of light to destroy precancer skin growth (HCPCS code 96567) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $135.20, but hospitals typically charge $330.37 — a 2.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $135.20, your out-of-pocket cost would be approximately $27.04. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $97.47 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $161 | $359 | 420 | 4,148 | +19.3% |
| New Jersey | $158 | $301 | 89 | 583 | +16.5% |
| Hawaii | $157 | $254 | 7 | 22 | +15.9% |
| Connecticut | $151 | $345 | 33 | 277 | +12.0% |
| New York | $151 | $465 | 140 | 1,035 | +12.0% |
| Alaska | $150 | $551 | 11 | 105 | +11.1% |
| Massachusetts | $150 | $447 | 126 | 2,016 | +11.0% |
| District of Columbia | $148 | $251 | 8 | 110 | +9.8% |
| Maryland | $144 | $353 | 62 | 1,126 | +6.5% |
| Colorado | $142 | $344 | 127 | 1,467 | +4.9% |
| New Hampshire | $140 | $427 | 32 | 244 | +3.9% |
| Delaware | $140 | $197 | 12 | 373 | +3.8% |
| Minnesota | $140 | $451 | 113 | 640 | +3.6% |
| Washington | $139 | $317 | 123 | 1,536 | +3.1% |
| South Dakota | $139 | $180 | 12 | 73 | +2.5% |
| Pennsylvania | $138 | $240 | 96 | 657 | +1.9% |
| Wyoming | $137 | $279 | 5 | 78 | +1.6% |
| Texas | $137 | $320 | 252 | 2,336 | +1.5% |
| Virginia | $137 | $280 | 147 | 3,179 | +1.2% |
| Montana | $136 | $273 | 14 | 279 | +0.9% |
| North Dakota | $136 | $410 | 6 | 68 | +0.4% |
| Oregon | $136 | $358 | 85 | 944 | +0.3% |
| Rhode Island | $135 | $474 | 15 | 164 | +0.2% |
| Nevada | $133 | $300 | 28 | 655 | -1.3% |
| Illinois | $131 | $437 | 120 | 1,150 | -3.0% |
| Wisconsin | $131 | $678 | 65 | 379 | -3.0% |
| Arizona | $131 | $309 | 122 | 2,506 | -3.0% |
| Florida | $129 | $294 | 459 | 4,429 | -4.4% |
| Georgia | $129 | $322 | 139 | 2,115 | -4.5% |
| Utah | $129 | $269 | 41 | 476 | -4.7% |
| Michigan | $128 | $312 | 93 | 659 | -5.4% |
| North Carolina | $127 | $283 | 176 | 2,608 | -6.1% |
| Missouri | $126 | $290 | 84 | 1,009 | -6.5% |
| Ohio | $125 | $321 | 94 | 751 | -7.2% |
| South Carolina | $125 | $559 | 59 | 887 | -7.6% |
| Louisiana | $125 | $248 | 44 | 634 | -7.7% |
| Nebraska | $123 | $394 | 14 | 42 | -8.9% |
| Kentucky | $121 | $252 | 52 | 300 | -10.4% |
| Kansas | $121 | $324 | 53 | 318 | -10.4% |
| Maine | $121 | $392 | 18 | 101 | -10.7% |
| Alabama | $120 | $349 | 84 | 850 | -11.0% |
| Idaho | $119 | $221 | 36 | 233 | -11.7% |
| Indiana | $119 | $294 | 103 | 970 | -12.3% |
| Tennessee | $117 | $242 | 121 | 1,758 | -13.4% |
| Arkansas | $116 | $243 | 28 | 404 | -13.9% |
| New Mexico | $115 | $287 | 15 | 205 | -14.9% |
| Iowa | $115 | $453 | 20 | 117 | -15.2% |
| Mississippi | $113 | $265 | 41 | 403 | -16.1% |
| West Virginia | $112 | $265 | 22 | 125 | -16.8% |
| Oklahoma | $112 | $262 | 11 | 132 | -17.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber