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Preventive Treatment For A Retinal Tear Or Weak Spot

Indiana 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?

$479

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $3,890 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$309$229 to $501
FacilityA hospital or hospital-owned outpatient department$3,890$3,311 to $5,495

How much rates vary

Facilitymedian $3,890 · 10th to 90th $575 to $8,318Professionalmedian $309 · 10th to 90th $214 to $646
$200$500$1K$2K$5K$10Kfacility $3,890professional $309

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
$309.03
Median
$3,890.45
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$245.47
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$562.34
Median
$724.44
Typical High
$1,096.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$275.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$234.42
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$489.78
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$2,691.53
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$933.25

Where Indiana 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.

Indiana· 29th of 51

$479

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.