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Pterygium Removal Without Graft

Pennsylvania 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?

$4,292

Typical total for the visit. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,292 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $3,802 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$380 to $589
Facility feeThe hospital or surgery center$3,802$1,660 to $5,370

How much rates vary

Facilitymedian $3,802 · 10th to 90th $589 to $8,318Professionalmedian $490 · 10th to 90th $355 to $851
$200.0$1.0K$5.0K$20.0Kfacility $3,802professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$851.14
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$537.03
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$812.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$891.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$436.52
Typical High
$467.74
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$3,090.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$1,584.89
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$5,754.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$724.44
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,548.82
Typical High
$2,951.21
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,630.78
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$851.14

Where Pennsylvania sits

The same service costs 7.5 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feePennsylvania $4,292 · 15th of 50
IN $7,397WV $993

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.