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Preventive Treatment For A Retinal Tear Or Weak Spot

New Jersey 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?

$479

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $4,898 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$257 to $617
FacilityA hospital or hospital-owned outpatient department$4,898$3,236 to $7,079

How much rates vary

Facilitymedian $4,898 · 10th to 90th $912 to $10,471Professionalmedian $457 · 10th to 90th $219 to $955
$200$500$1K$2K$5K$10Kfacility $4,898professional $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
$851.14
Median
$5,370.32
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$457.09
Typical High
$954.99
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$7,079.46
Typical High
$10,964.78
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$218.78
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$562.34
Typical High
$1,096.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$398.11
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,698.24
Typical High
$2,818.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$467.74
Typical High
$912.01

Where New Jersey 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.

New Jersey· 30th of 51

$479

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.