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Eye Surface Growth Removal With Tissue Graft

North Carolina 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?

$3,597

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $3,597 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $2,951 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$646$457 to $832
Facility feeThe hospital or surgery center$2,951$741 to $7,943

How much rates vary

Facilitymedian $2,951 · 10th to 90th $575 to $10,000Professionalmedian $646 · 10th to 90th $437 to $1,514
$100$200$500$1K$2K$5K$10Kfacility $2,951professional $646

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
$645.65
Median
$3,019.95
Typical High
$11,220.18
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$346.74
Median
$741.31
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$1,380.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$436.52
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$707.95
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$1,258.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$676.08
Typical High
$1,122.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
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
$407.38
Median
$602.56
Typical High
$1,230.27
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$42,657.95
Wellcare
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,495.41

Where North Carolina 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

North Carolina· 36th of 50

$3,597

$646 physician + $2,951 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.