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Amniotic Membrane Placement On The Eye Surface

Washington rates for HCPCS 65779

A thin membrane derived from placental tissue is placed over the surface of the eye and held in position to help protect the eye and support healing after an injury, infection, or other damage. The membrane provides a biological covering that encourages the eye's own tissue to repair itself.

Rates data updated July 2026.

How much does Amniotic Membrane Placement On The Eye Surface cost?

$3,142

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

Insurers have agreed to pay about $3,142 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $2,291 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$851$263 to $1,950
Facility feeThe hospital or surgery center$2,291$437 to $5,754

How much rates vary

Facilitymedian $2,291 · 10th to 90th $269 to $13,183Professionalmedian $851 · 10th to 90th $195 to $2,884
$50$200$1K$5K$20Kfacility $2,291professional $851

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
$269.15
Median
$2,884.03
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$851.14
Typical High
$2,691.53
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
$218.78
Median
$501.19
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$758.58
Typical High
$3,311.31
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$1,513.56
Typical High
$3,548.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$707.95
Typical High
$2,951.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$56.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,187.76
Typical High
$2,344.23
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$1,584.89
Typical High
$2,818.38
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
$229.09
Median
$501.19
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$11,481.54
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$1,148.15
Typical High
$2,951.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$2,630.27

Where Washington sits

The same service costs 11.1 times more in Indiana 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.

Physician feeFacility fee

Washington· 31st of 50

$3,142

$851 physician + $2,291 facility

IN $10,596ME $953

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.