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Vitrectomy With Removal of Membrane Under Retina

Washington, DC rates for HCPCS 67043

Eye surgery that removes the vitreous gel from inside the eye with a mechanical instrument, entering through the pars plana at the side of the eye, in order to remove abnormal membrane tissue from beneath the retina. Any tamponade placement and laser treatment performed during the operation are included.

Rates data updated October 2026.

How much does Vitrectomy With Removal of Membrane Under Retina cost?

$1,413

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,122 to $2,951.

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.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,698 to $27,542Professionalmedian $1,230 · 10th to 90th $1,096 to $3,631
$1K$2K$5K$10K$20Kfacility $7,244professional $1,230

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
Facility
Modifier
None
Typical Low
$1,513.56
Median
$5,011.87
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,513.56
Typical High
$1,513.56
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,230.27
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$3,630.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$2,691.53
United
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$10,232.93
Typical High
$34,673.69
United
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$3,311.31

Where Washington, DC sits

The same service costs 7.8 times more in Alaska than in Utah. 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.

Washington, DC· 38th of 51

$1,413

AK $4,786UT $617

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.