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Pterygium Removal Without Graft

Maryland rates for HCPCS 65420

This procedure removes a growth of pink, fleshy tissue that has formed on the white part of the eye and extended onto the clear front surface, called the cornea. This kind of growth is often linked to long-term sun or wind exposure and can cause irritation or blurred vision as it grows. The tissue is removed without placing a separate patch of tissue over the area afterward.

Rates data updated July 2026.

How much does Pterygium Removal Without Graft cost?

$490

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $457 to $708.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,000 · 10th to 90th $427 to $4,898Professionalmedian $490 · 10th to 90th $363 to $708
$500$1K$2K$5Kfacility $1,000professional $490

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$707.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$380.19
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$954.99
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$575.44
Typical High
$776.25

Where Maryland sits

The same service costs 6.0 times more in California than in West Virginia. 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.

Maryland· 49th of 51

$490

CA $2,818WV $468

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.