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Eyelid Tissue Biopsy

North Carolina rates for HCPCS 67810

A small piece of tissue is cut from the eyelid and sent to a lab for examination, used to help diagnose an unclear growth, lesion, or area of concern on the eyelid. It's a limited sampling procedure rather than complete removal of the lesion.

Rates data updated July 2026.

How much does Eyelid Tissue Biopsy cost?

$200

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $269 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 7 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$182$87.10 to $263
FacilityA hospital or hospital-owned outpatient department$269$182 to $1,380

How much rates vary

Facilitymedian $269 · 10th to 90th $69 to $5,495Professionalmedian $182 · 10th to 90th $66 to $501
$50$100$200$500$1K$2K$5Kfacility $269professional $182

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
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$181.97
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$257.04
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$338.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$181.97
Typical High
$316.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$158.49
Typical High
$288.40
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$4,265.80
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56

Where North Carolina sits

The same service costs 3.0 times more in Alaska than in Maine. 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.

North Carolina· 25th of 51

$200

AK $389ME $129

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.