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Repair of a Tear in the Membrane Over the Eye

Ohio rates for HCPCS 65273

Surgical repair of a tear in the conjunctiva, the thin clear membrane covering the white of the eye, in which nearby membrane is loosened and shifted across the gap before being stitched into place. It is used when the torn edges cannot simply be drawn together.

Rates data updated July 2026.

How much does Repair of a Tear in the Membrane Over the Eye cost?

$708

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $3,715 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 8 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$389$363 to $575
FacilityA hospital or hospital-owned outpatient department$3,715$2,188 to $7,586

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,000 to $10,715Professionalmedian $389 · 10th to 90th $331 to $3,715
$50$200$1K$5Kfacility $3,715professional $389

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
$707.95
Median
$3,715.35
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$4,466.84
Typical High
$9,772.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$380.19
Typical High
$676.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$794.33
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,884.03
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$724.44

Where Ohio sits

The same service costs 7.9 times more in California than in West Virginia. 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.

Ohio· 15th of 51

$708

CA $3,236WV $407

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.