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Preventive Treatment For A Retinal Tear Or Weak Spot

North Carolina 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?

$490

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $1,000 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$468$288 to $617
FacilityA hospital or hospital-owned outpatient department$1,000$513 to $2,884

How much rates vary

Facilitymedian $1,000 · 10th to 90th $209 to $5,495Professionalmedian $468 · 10th to 90th $219 to $1,047
$1$10$100$1K$10Kfacility $1,000professional $468

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
$208.93
Median
$1,380.38
Typical High
$5,754.40
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$457.09
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$741.31
Median
$891.25
Typical High
$912.01
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$891.25
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$380.19
Median
$380.19
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$524.81
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$562.34
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$501.19
Typical High
$870.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,344.23
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$912.01
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$3,890.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95

Where North Carolina 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.

North Carolina· 27th of 51

$490

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.