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Vitrectomy With Removal Of Retinal Surface Membrane

Vermont rates for HCPCS 67041

This eye surgery removes the gel-like substance inside the eye and also strips away a thin scar-like membrane that has formed on the surface of the retina, sometimes called a macular pucker, which can distort or blur vision. It is performed using small incisions and specialized instruments.

Rates data updated October 2026.

How much does Vitrectomy With Removal Of Retinal Surface Membrane cost?

$3,966

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

Insurers have agreed to pay about $3,966 for this procedure. That total is two separate charges: $1,622 to the doctor who performs it, and $2,344 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,622$1,514 to $1,995
Facility feeThe hospital or surgery center$2,344$2,344 to $4,898

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,230 to $5,012Professionalmedian $1,622 · 10th to 90th $1,148 to $2,291
$500$1K$2K$5Kfacility $2,344professional $1,622

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$1,548.82
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,995.26
Typical High
$1,995.26
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$4,073.80
United
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$2,691.53

Where Vermont sits

The same service costs 3.1 times more in Alaska 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

Vermont· 42nd of 51

$3,966

$1,622 physician + $2,344 facility

AK $10,596MT $3,400

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.