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Preventive Treatment For A Retinal Tear Or Weak Spot

South 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?

$427

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $1,479 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$398$269 to $603
FacilityA hospital or hospital-owned outpatient department$1,479$562 to $4,898

How much rates vary

Facilitymedian $1,479 · 10th to 90th $275 to $9,772Professionalmedian $398 · 10th to 90th $234 to $692
$200$500$1K$2K$5K$10K$20Kfacility $1,479professional $398

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
$269.15
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$691.83
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$891.25
Median
$912.01
Typical High
$912.01
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,445.44
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$602.56
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$758.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$549.54
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$3,162.28
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$831.76

Where South 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.

South Carolina· 43rd of 51

$427

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.