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Eye Surface Growth Removal With Tissue Graft

New York 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?

$5,217

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

Insurers have agreed to pay about $5,217 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $4,571 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$646$513 to $871
Facility feeThe hospital or surgery center$4,571$2,455 to $7,413

How much rates vary

Facilitymedian $4,571 · 10th to 90th $759 to $10,965Professionalmedian $646 · 10th to 90th $417 to $1,349
$200$500$1K$2K$5K$10Kfacility $4,571professional $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
$4,677.35
Typical High
$12,022.64
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$407.38
Median
$575.44
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$1,659.59
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,630.27
Typical High
$12,302.69
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$776.25
Typical High
$1,949.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$1,584.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,348.96
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$794.33
Typical High
$1,412.54
Fidelis
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$831.76
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$1,584.89
Univera
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$1,348.96
Univera
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$309.03
Median
$309.03
Typical High
$524.81
Univera
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$691.83
Typical High
$1,905.46

Where New York 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 York· 18th of 50

$5,217

$646 physician + $4,571 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.