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Preventive Treatment For A Retinal Tear Or Weak Spot

New York 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?

$562

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $3,090 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 11 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 $631
FacilityA hospital or hospital-owned outpatient department$3,090$1,380 to $4,677

How much rates vary

Facilitymedian $3,090 · 10th to 90th $380 to $7,413Professionalmedian $468 · 10th to 90th $240 to $1,047
$200$500$1K$2K$5K$10Kfacility $3,090professional $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
$288.40
Median
$2,630.27
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$478.63
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$645.65
Median
$741.31
Typical High
$2,754.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$309.03
Median
$407.38
Typical High
$1,737.80
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$616.60
Typical High
$1,380.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$416.87
Typical High
$741.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$537.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$512.86
Fidelis
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,511.89
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$645.65
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,884.03
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$467.74
Typical High
$1,445.44
Univera
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$295.12
Typical High
$1,348.96
Univera
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$1,318.26

Where New York 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 York· 11th of 51

$562

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.