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Preventive Treatment For A Retinal Tear Or Weak Spot

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $1,175 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 7 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$427$316 to $589
FacilityA hospital or hospital-owned outpatient department$1,175$708 to $2,512

How much rates vary

Facilitymedian $1,175 · 10th to 90th $269 to $5,129Professionalmedian $427 · 10th to 90th $229 to $1,047
$100$200$500$1K$2K$5K$10Kfacility $1,175professional $427

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
$269.15
Median
$1,174.90
Typical High
$5,370.32
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$457.09
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$616.60
Median
$616.60
Typical High
$3,801.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$407.38
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$870.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$1,548.82
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,288.25
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$562.34
Typical High
$1,047.13

Where Illinois 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.

Illinois· 37th 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.