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Preventive Treatment For A Retinal Tear Or Weak Spot

Tennessee 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?

$525

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $1,380 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$490$398 to $692
FacilityA hospital or hospital-owned outpatient department$1,380$646 to $2,399

How much rates vary

Facilitymedian $1,380 · 10th to 90th $468 to $4,074Professionalmedian $490 · 10th to 90th $251 to $851
$100$200$500$1K$2K$5Kfacility $1,380professional $490

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
$467.74
Median
$1,348.96
Typical High
$4,570.88
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$489.78
Typical High
$831.76
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,041.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$229.09
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,513.56
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$478.63
Typical High
$794.33
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$3,890.45
Typical High
$3,890.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,348.96
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$933.25

Where Tennessee 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.

Tennessee· 19th of 51

$525

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.