go back

Preventive Treatment For A Retinal Tear Or Weak Spot

Montana 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 Montana, 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 $417 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$398 to $490
FacilityA hospital or hospital-owned outpatient department$417$380 to $832

How much rates vary

Facilitymedian $417 · 10th to 90th $372 to $1,072Professionalmedian $457 · 10th to 90th $275 to $891
$100$500$2K$10K$50Kfacility $417professional $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
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$645.65
Median
$645.65
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$870.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$416.87
Typical High
$891.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$416.87
Typical High
$891.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$645.65
Typical High
$1,023.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$323.59
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$977.24

Where Montana 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.

Montana· 38th 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.