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Preventive Treatment For A Retinal Tear Or Weak Spot

Kentucky 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?

$427

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $813 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$245 to $589
FacilityA hospital or hospital-owned outpatient department$813$288 to $3,802

How much rates vary

Facilitymedian $813 · 10th to 90th $229 to $10,715Professionalmedian $427 · 10th to 90th $219 to $832
$200$500$1K$2K$5K$10Kfacility $813professional $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
$229.09
Median
$407.38
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$426.58
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$309.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$512.86
Median
$616.60
Typical High
$1,047.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$257.04
Typical High
$281.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$323.59
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$602.56
Typical High
$2,511.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,445.44
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$891.25

Where Kentucky 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.

Kentucky· 44th of 51

$427

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.