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Pterygium Removal Without Graft

North Carolina 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.

Facilitymedian $1,202 · 10th–90th $389$7,5860%5%10%10th90th$1,202Professionalmedian $513 · 10th–90th $363$1,2590%10%20%10th90th$513$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,621.81
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$870.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$489.78
Typical High
$977.24
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$4,466.84