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Eye Surface Growth Removal With Tissue Graft

Montana 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?

$1,634

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

Insurers have agreed to pay about $1,634 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $1,072 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$562$437 to $794
Facility feeThe hospital or surgery center$1,072$813 to $1,148

How much rates vary

Facilitymedian $1,072 · 10th to 90th $794 to $1,349Professionalmedian $562 · 10th to 90th $372 to $1,148
$200$1K$5K$20K$100Kfacility $1,072professional $562

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
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,071.52
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,230.27
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,230.27
Providence
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,122.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$676.08
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,445.44
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,621.81

Where Montana 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

Montana· 49th of 50

$1,634

$562 physician + $1,072 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.