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Eye Surface Growth Removal With Tissue Graft

New Jersey 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?

$8,574

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $8,574 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $7,943 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$631$501 to $813
Facility feeThe hospital or surgery center$7,943$4,677 to $10,471

How much rates vary

Facilitymedian $7,943 · 10th to 90th $1,202 to $12,303Professionalmedian $631 · 10th to 90th $427 to $1,698
$500$1K$2K$5K$10Kfacility $7,943professional $631

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
$870.96
Median
$8,317.64
Typical High
$12,302.69
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$331.13
Median
$457.09
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$660.69
Typical High
$1,548.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$1,096.48
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,709.64
Typical High
$12,302.69
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$707.95
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$1,071.52

Where New Jersey 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

New Jersey· 3rd of 50

$8,574

$631 physician + $7,943 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.