Actinic keratoses, also known as solar keratoses, are rough skin lesions that develop following years of sun exposure. They typically appear on the face, scalp, lips, forearms and back of the hands. According to the Mayo Clinic[1] , while an actinic keratosis may sometimes resolve on its own, in some cases, the patches develop into skin cancer.
Typical costs:
For patients with health insurance, out-of-pocket costs for visiting a dermatologist will typically consist of a doctor visit copay of $5 -$30 or more, or coinsurance of 10%-50% or more. For patients without health insurance, an office visit typically costs $50-$200 or more.
According to the Skin Cancer Foundation, options for removing an actinic keratosis[2] typically include medicated creams and solutions that are used alone or in combination with other modes of treatment. Topical Fluorouracil (Carac, Efudex, Fluoroplex)[3] is the most widely used ointment for actinic keratoses and costs $95-$350, depending on whether the patient buys a name brand or its generic equivalent.
Another option used to treat actinic keratoses is a skin peel, which typically costs $200-$275 when performed by a medical professional, depending on the clinic and region in which it is located. For example, at Prolase Medspa and laser center[4] in Glendale, CA, a chemical peel typically costs $245.
Other procedures include microdermabrasion and dermabrasion which can cost up to $2,000 or more, depending on the number of sessions needed; cryotherapy, which can cost $400 or more; and laser resurfacing, which can cost $100-$5,000, depending on how much of the skin is treated, the type of laser used, the individual center and its regional location. For example, at Schweiger Dermatology[5] in New York City, a laser treatment can cost $4,000 including consult fees, visit fees, anesthesia and medication.
According to the Mayo Clinic[6] , a dermatologist may be able to diagnose actinic keratoses on sight, simply by looking for tell-tale signs[7] on a patient's skin.
To determine whether a keratosis is cancerous, a doctor may also order additional tests, such as a skin biopsy[8] .
A doctor may advise that the lesion be removed as a precaution.
Additional costs:
Using a broad-spectrum sunscreen with a sun protection factor (SPF) of 30 can help to prevent actinic keratoses from developing. Sunscreens typically range in cost from $5-$30 or more, like L'Oreal Sublime Sun Face Lotion, SPF 50[9] , which costs $11 at drugstore.com.
Discounts:
Outlets such as Costco[10] and Walmart[11] often sell prescription and over-the-counter drugs at significant savings. Walmart, for example, has a prescription drug program[12] that includes certain generic drugs at commonly prescribed dosages.
Many hospitals offer discounts of 30% of more to uninsured/cash-paying patients. At St. Joseph Hospital[13] in Orange, CA, for example, patients without health insurance may qualify for a 45% discount off billed charges. They'll also be offered an additional 10% discount if payment is made within 10 days of receiving a bill.
Shopping for actinic keratosis treatment:
The American Academy of Dermatology has a search tool[14] to help patients find a dermatologist.
The Mayo Clinic offers questions[15] for patients to ask their dermatologists.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
10 Quick and Inexpensive Home Makeover Projects To Do While At Home You may not be able to host the large family gathering for the holidays, but there are still many ways to pick up items curbside to spruce up your indoor space for your everyday enjoyment and to bring a more festive spirit. || Posted December 30 2020
10 Key Ways to Prepare for Extreme Snow Forecasters are predicting a true nor'easter will hit the eastern and central states with rain, thunderstorms, ice, snow and high winds over the Thanksgiving weekend. It's crucial to plan ahead, before bad weather hits. || Posted November 26 2013
CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Our writers are experienced journalists who adhere to our strict editorial ethics policy.
CostHelper Community
Radiologist Fee Paid: 350.00 Any radiologist reading your mammogram will be at least $350. They have 11-13 years of training after high school before they begin work. If they are not board certified, watch out. Most are and it beats getting cancer... [more]
DIY Ceiling Paid: 50.00 We bought a house with a cheap paint job. The ceilings were sprayed the same color as the walls. During COVID I painted the ceilings and a bathroom. A 120 square foot room took me about 4 hours (2 coats)... [more]
DIY vs Installed Small Deck Paid: 3000.00 We paid $1300 for materials and $1700 for labor on a 100 square foot composite deck plus a redwood gate. It took 30 hours, done last year. My husband built a 100 sf heart redwood deck for about $1000 in materials in 2019... [more]
Colposcopy with biopsy Paid: 756.00 This service was wayy to expensive in my opinion. For a 20-25 minute total visit I had to pay out of pocked 756 - 187 to OBGYN, 229 to pathologist, then 340$ for facility fee or the hospital. I don't even know what that charge was for... [more]
Bilateral Diagnostic Mammogram and Third Mammogram Paid: 1389.66 My 2021 bill, still in shock! Weill Cornell, in-network provider, billed my insurance $908 for a bilateral diagnostic mammogram, and $712 for a third mammogram one breast... [more]
shoulder mri Paid: 8000.00 Seriously, 8K for an MRI before all the secret insurance kicks in. I was stuck with a 1200 bill and my insurance is pretty good. This is insane for a 20 minute procedure with no nurse assistance... [more]