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Preventive Treatment For A Retinal Tear Or Weak Spot

Michigan 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?

$417

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $1,230 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 8 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$398$288 to $525
FacilityA hospital or hospital-owned outpatient department$1,230$437 to $2,042

How much rates vary

Facilitymedian $1,230 · 10th to 90th $309 to $4,898Professionalmedian $398 · 10th to 90th $229 to $724
$200$500$1K$2K$5Kfacility $1,230professional $398

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
$1,230.27
Typical High
$4,897.79
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,737.80
Median
$5,128.61
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$407.38
Typical High
$741.31
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$645.65
Median
$831.76
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$323.59
Typical High
$346.74
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$346.74
Median
$446.68
Typical High
$446.68
CareSource
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$467.74
Typical High
$691.83
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,513.56
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$794.33
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,445.44
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$562.34
Typical High
$776.25

Where Michigan 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.

Michigan· 46th of 51

$417

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.