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Pterygium Removal Without Graft

Montana 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 October 2026.

How much does Pterygium Removal Without Graft cost?

$1,311

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $1,311 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $708 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$603$537 to $851
Facility feeThe hospital or surgery center$708$575 to $933

How much rates vary

Facilitymedian $708 · 10th to 90th $575 to $1,738Professionalmedian $603 · 10th to 90th $372 to $851
$100$200$500$1K$2K$5Kfacility $708professional $603

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$446.68
Typical High
$660.69
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,737.80
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$616.60
Typical High
$851.14
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$676.08
Typical High
$1,000.00
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$602.56
Typical High
$977.24
Providence
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,737.80
Typical High
$5,011.87
Providence
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$562.34
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$741.31
Typical High
$954.99

Where Montana sits

The same service costs 3.8 times more in Colorado than in Alabama. 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.

Physician feeFacility fee

Montana· 50th of 51

$1,311

$603 physician + $708 facility

CO $4,902AL $1,301

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.