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Surgery To Explore The Eye Socket

North Carolina rates for HCPCS 67400

A surgeon makes an incision near the eye, without removing any bone, to look inside the eye socket and examine the tissue around the eye, sometimes taking a small tissue sample for further testing. This is used to investigate a suspected problem behind or around the eye, such as an unexplained mass or swelling.

Rates data updated July 2026.

How much does Surgery To Explore The Eye Socket cost?

$4,864

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

Insurers have agreed to pay about $4,864 for this procedure. That total is two separate charges: $1,148 to the doctor who performs it, and $3,715 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$1,148$1,000 to $1,585
Facility feeThe hospital or surgery center$3,715$1,660 to $5,129

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,047 to $8,710Professionalmedian $1,148 · 10th to 90th $891 to $2,884
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $3,715professional $1,148

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
$1,380.38
Median
$4,466.84
Typical High
$8,709.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,230.27
Median
$6,918.31
Typical High
$6,918.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,348.96
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$2,137.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$1,819.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$8,912.51
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$2,344.23
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$8,511.38

Where North Carolina sits

The same service costs 6.6 times more in Wyoming than in Maine. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNorth Carolina $4,864 · 33rd of 50
WY $13,832ME $2,101

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.