Repair of an Eye Wound Involving Inner Tissue

Nationwide rates for HCPCS 65285

Surgical closure of a wound that has gone all the way through the clear front window of the eye or the white wall behind it, where the pigmented inner layer has been pulled into or out through the opening. The surgeon pushes that tissue back into place or trims away the part that cannot be saved, then closes the wound with fine stitches. It is emergency surgery done under anesthesia to seal the eye and preserve sight.

Rates data updated July 2026.

How much does Repair of an Eye Wound Involving Inner Tissue cost?

$7,574

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,574 for this procedure. That total is two separate charges: $1,549 to the doctor who performs it, and $6,026 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

20% physician fee80% facility fee

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 53 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$1,549	$1,122 to $2,239
Facility feeThe hospital or surgery center	The hospital or surgery center	$6,026	$3,020 to $10,233

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,413 to $14,791Professionalmedian $1,549 · 10th to 90th $977 to $3,467

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $1,230.27 Median $4,786.30 Typical High $12,022.64	Facility	Global	$1,230.27	$4,786.30	$12,022.64
BCBS Setting Facility Modifier Global Typical Low $3,235.94 Median $8,709.64 Typical High $17,782.79	Facility	Global	$3,235.94	$8,709.64	$17,782.79
Cigna Setting Facility Modifier Global Typical Low $912.01 Median $3,311.31 Typical High $9,120.11	Facility	Global	$912.01	$3,311.31	$9,120.11
United Setting Facility Modifier Global Typical Low $1,513.56 Median $4,365.16 Typical High $10,964.78	Facility	Global	$1,513.56	$4,365.16	$10,964.78

What it costs in each state

The same service costs 3.4 times more in Wisconsin than in South 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

Touch or drag across the chart to see any state's rate.

WI $11,960SD $3,484

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.