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Corneal Surface Sample For Infection Testing

Illinois rates for HCPCS 65430

This is the collection of a small sample of cells or material from the surface of the cornea, the clear front layer of the eye, to check for an infection under a microscope and in a laboratory culture. It's used when an eye infection is suspected and the specific cause needs to be identified to choose the right treatment. The sample is taken with a gentle scraping motion, typically after numbing the eye.

Rates data updated July 2026.

How much does Corneal Surface Sample For Infection Testing cost?

$148

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $646 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$110 to $191
FacilityA hospital or hospital-owned outpatient department$646$186 to $1,862

How much rates vary

Facilitymedian $646 · 10th to 90th $112 to $5,370Professionalmedian $138 · 10th to 90th $98 to $240
$50.0$200.0$1.0K$5.0Kfacility $646professional $138

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
$112.20
Median
$616.60
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$158.49
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$251.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$181.97
Typical High
$575.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$263.03

Where Illinois sits

The same service costs 3.5 times more in Wyoming than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $148 · 21st of 51
WY $398KY $115

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.