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Complex Retinal Detachment Repair

Texas rates for HCPCS 67113

A surgeon repairs a severe, complicated case of retinal detachment, in which the light-sensing layer at the back of the eye has pulled away from its normal position, often involving significant scar tissue. The procedure typically includes removing the vitreous gel from inside the eye and carefully repositioning and securing the retina. This is a more involved version of retinal detachment surgery, used for cases that are harder to fix than a straightforward detachment.

Rates data updated July 2026.

How much does Complex Retinal Detachment Repair cost?

$5,815

Typical total for the visit. In Texas, July 2026.

Insurers have agreed to pay about $5,815 for this procedure. That total is two separate charges: $1,549 to the doctor who performs it, and $4,266 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 13 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,549$1,318 to $1,950
Facility feeThe hospital or surgery center$4,266$2,291 to $6,918

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,148 to $12,589Professionalmedian $1,549 · 10th to 90th $1,072 to $2,399
$100$200$500$1K$2K$5K$10Kfacility $4,266professional $1,549

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
$1,096.48
Median
$3,890.45
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,621.81
Typical High
$2,290.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$1,621.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$6,165.95
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,202.26
Typical High
$1,995.26
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,370.32
Typical High
$10,964.78
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$2,398.83
Christus
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,778.28
Typical High
$2,884.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$15,488.17
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$2,818.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,659.59
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,884.03
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$7,943.28
Typical High
$7,943.28
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,949.84
Typical High
$2,511.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$2,884.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,778.28
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$6,025.60
Typical High
$11,481.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$2,290.87
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,479.11

Where Texas sits

The same service costs 8.9 times more in Delaware than in Maine. 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

Texas· 39th of 51

$5,815

$1,549 physician + $4,266 facility

DE $20,978ME $2,368

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.