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Repair of a Torn Eye Muscle or Its Covering

Washington 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?

$2,561

Typical total for the visit. In Washington, July 2026.

Insurers have agreed to pay about $2,561 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $1,820 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$575 to $1,202
Facility feeThe hospital or surgery center$1,820$933 to $10,233

How much rates vary

Facilitymedian $1,820 · 10th to 90th $676 to $16,218Professionalmedian $741 · 10th to 90th $427 to $1,950
$100.0$1.0K$10.0Kfacility $1,820professional $741

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
$741.31
Median
$6,456.54
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$741.31
Typical High
$1,479.11
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$12,022.64
Typical High
$21,379.62
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,000.00
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,479.11
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,230.27
Typical High
$4,570.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,174.90
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$295.12
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$933.25
Typical High
$977.24
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$660.69
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,047.13
Typical High
$1,380.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$11,220.18
Typical High
$20,892.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$11,220.18
Typical High
$21,877.62
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$1,380.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$575.44
Typical High
$891.25

Where Washington sits

The same service costs 10.6 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeWashington $2,561 · 39th of 50
IN $10,758WV $1,015

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.