go back

Partial Removal Of The Eye's Vitreous Jelly

Utah rates for HCPCS 67005

Removes part of the vitreous, the clear jelly filling the eye, through an opening made at the front of the eye near the edge of the cornea. It is done when the jelly has moved forward into the front chamber of the eye or is pulling on structures there.

Rates data updated October 2026.

How much does Partial Removal Of The Eye's Vitreous Jelly cost?

$4,444

Typical total for the visit. In Utah, October 2026.

Insurers have agreed to pay about $4,444 for this procedure. That total is two separate charges: $275 to the doctor who performs it, and $4,169 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$275$195 to $339
Facility feeThe hospital or surgery center$4,169$1,514 to $6,026

How much rates vary

Facilitymedian $4,169 · 10th to 90th $490 to $7,943Professionalmedian $275 · 10th to 90th $55 to $490
$50$200$1K$5Kfacility $4,169professional $275

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$4,570.88
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,479.11
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$549.54
Typical High
$776.25
Molina
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$257.04
Typical High
$371.54
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$4,677.35
Typical High
$6,760.83
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$630.96
Typical High
$691.83
Select Health
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$676.08
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$3,311.31
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$467.74
Typical High
$831.76
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,623.41
Median
$7,079.46
Typical High
$10,232.93

Where Utah sits

The same service costs 4.0 times more in Washington, DC than in Montana. 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

Utah· 7th of 51

$4,444

$275 physician + $4,169 facility

DC $5,630MT $1,416

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.