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Eye Surface Growth Removal With Tissue Graft

South Dakota 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?

$4,873

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $4,873 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $3,802 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$1,072$646 to $1,585
Facility feeThe hospital or surgery center$3,802$1,259 to $3,802

How much rates vary

Facilitymedian $3,802 · 10th to 90th $603 to $3,802Professionalmedian $1,072 · 10th to 90th $457 to $1,950
$500$1K$2K$5Kfacility $3,802professional $1,072

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
$3,801.89
Median
$3,801.89
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$707.95
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,122.02
Typical High
$3,548.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,513.56
Typical High
$1,584.89
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,000.00
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,698.24

Where South Dakota 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

South Dakota· 24th of 50

$4,873

$1,072 physician + $3,802 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.