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Injection Of Vitreous Substitute Into The Eye

North Carolina rates for HCPCS 67025

This is an eye procedure in which a substance such as a gas bubble or silicone oil is injected into the eye's inner cavity to replace or support the natural gel-like fluid there, often to help press a detached retina back into place. It may also involve draining fluid that has collected behind the retina at the same time. It is commonly performed as part of retinal detachment treatment.

Rates data updated July 2026.

How much does Injection Of Vitreous Substitute Into The Eye cost?

$813

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $1,288 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$776$676 to $977
FacilityA hospital or hospital-owned outpatient department$1,288$776 to $4,266

How much rates vary

Facilitymedian $1,288 · 10th to 90th $646 to $7,586Professionalmedian $776 · 10th to 90th $603 to $1,995
$1K$2K$5K$10Kfacility $1,288professional $776

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
$707.95
Median
$2,344.23
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$870.96
Typical High
$1,412.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$1,380.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,445.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$6,025.60

Where North Carolina sits

The same service costs 4.5 times more in Wyoming 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.

North Carolina· 37th of 51

$813

WY $3,236WV $724

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.