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Eye Surface Growth Removal With Tissue Graft

Illinois rates for HCPCS 65426

This procedure surgically removes a growth of tissue that has spread across part of the clear surface of the eye, then covers the area with a tissue graft to help it heal and reduce the chance of the growth returning. It's a more involved version of removal than one done without a graft. It's often used for growths that have recurred or are more extensive.

Rates data updated July 2026.

How much does Eye Surface Growth Removal With Tissue Graft cost?

$3,526

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

Insurers have agreed to pay about $3,526 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $2,818 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$708$513 to $1,047
Facility feeThe hospital or surgery center$2,818$1,175 to $5,623

How much rates vary

Facilitymedian $2,818 · 10th to 90th $741 to $8,511Professionalmedian $708 · 10th to 90th $437 to $1,413
$500$1K$2K$5K$10K$20Kfacility $2,818professional $708

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
$741.31
Median
$2,691.53
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$398.11
Median
$645.65
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$1,513.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,548.13
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$724.44
Typical High
$1,174.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$912.01
Typical High
$2,187.76
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,388.44
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$741.31
Typical High
$1,202.26

Where Illinois sits

The same service costs 6.3 times more in California than in North Dakota. 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

Illinois· 37th of 50

$3,526

$708 physician + $2,818 facility

CA $10,125ND $1,609

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.