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Preventive Treatment For A Retinal Tear Or Weak Spot

North Dakota 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?

$468

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $501 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 5 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$417 to $525
FacilityA hospital or hospital-owned outpatient department$501$309 to $525

How much rates vary

Facilitymedian $501 · 10th to 90th $229 to $1,995Professionalmedian $468 · 10th to 90th $363 to $617
$500$1K$2K$5Kfacility $501professional $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
$229.09
Median
$501.19
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$524.81
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$588.84
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$616.60
Median
$707.95
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$457.09
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$501.19
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$794.33
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$1,000.00

Where North Dakota 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 Dakota· 31st of 51

$468

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.