go back

Vitrectomy (Removal of Eye Gel)

New Mexico rates for HCPCS 67036

A surgeon removes the vitreous, the clear gel that fills the middle of the eye, using small mechanical instruments inserted through tiny incisions. This is done to treat conditions such as retinal detachment, severe bleeding inside the eye, or scar tissue pulling on the retina. The removed gel is typically replaced with a saline solution or another substance during the same procedure.

Rates data updated October 2026.

How much does Vitrectomy (Removal of Eye Gel) cost?

$4,048

Typical total for the visit. In New Mexico, October 2026.

Insurers have agreed to pay about $4,048 for this procedure. That total is two separate charges: $1,096 to the doctor who performs it, and $2,951 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$1,096$912 to $1,413
Facility feeThe hospital or surgery center$2,951$1,905 to $7,244

How much rates vary

Facilitymedian $2,951 · 10th to 90th $933 to $15,849Professionalmedian $1,096 · 10th to 90th $724 to $1,585
$50$200$1K$5K$20Kfacility $2,951professional $1,096

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
$933.25
Median
$1,548.82
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,412.54
Typical High
$1,412.54
Ambetter
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$3,388.44
Typical High
$19,498.45
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$2,570.40
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,096.48
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$251.19
Typical High
$1,258.93
Providence
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$2,570.40
Typical High
$3,801.89
Providence
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,148.15
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$4,786.30
Typical High
$12,882.50
United
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,621.81

Where New Mexico sits

The same service costs 3.7 times more in Wisconsin 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

New Mexico· 29th of 51

$4,048

$1,096 physician + $2,951 facility

WI $9,756MT $2,637

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.