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Repair of a Torn Eye Muscle or Its Covering

Washington, DC rates for HCPCS 65290

Stitches together a torn eye-moving muscle, its tendon, or the thin membrane that wraps the eyeball behind the eyelids. It is done after a cut or penetrating injury to the eye area, or when these tissues are damaged during other surgery. Restoring them keeps the eye moving normally and prevents double vision.

Rates data updated July 2026.

How much does Repair of a Torn Eye Muscle or Its Covering cost?

$617

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $589 to $3,981.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $617 to $7,762Professionalmedian $603 · 10th to 90th $363 to $1,000
$500$1K$2K$5K$10K$20Kfacility $4,074professional $603

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
$616.60
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$616.60
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$2,290.87
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$10,000.00
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$1,348.96

Where Washington, DC sits

The same service costs 9.5 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.

Washington, DC· 41st of 51

$617

CA $5,012WV $525

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.