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Preventive Treatment For A Retinal Tear Or Weak Spot

Arizona rates for HCPCS 67145

This is a treatment applied to a weak area, tear, or thinning spot in the retina, the light-sensing layer at the back of the eye, using a laser to seal it and reduce the risk that it progresses to a full retinal detachment. It is a preventive procedure done before a detachment has actually occurred, over one or more treatment sessions.

Rates data updated July 2026.

How much does Preventive Treatment For A Retinal Tear Or Weak Spot cost?

$457

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $2,630 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$457$372 to $562
FacilityA hospital or hospital-owned outpatient department$2,630$1,479 to $4,677

How much rates vary

Facilitymedian $2,630 · 10th to 90th $550 to $5,623Professionalmedian $457 · 10th to 90th $234 to $1,072
$200$500$1K$2K$5Kfacility $2,630professional $457

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
$1,513.56
Median
$3,715.35
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$457.09
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$645.65
Median
$645.65
Typical High
$3,801.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,511.89
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$446.68
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$467.74
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,258.93
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$676.08

Where Arizona sits

The same service costs 3.5 times more in Wyoming than in Maryland. 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.

Arizona· 40th of 51

$457

WY $1,096MD $316

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.