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Preventive Treatment For A Retinal Tear Or Weak Spot

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $3,020 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$501$288 to $1,000
FacilityA hospital or hospital-owned outpatient department$3,020$617 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $501 to $4,571Professionalmedian $501 · 10th to 90th $214 to $1,122
$100$200$500$1K$2K$5Kfacility $3,020professional $501

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
$501.19
Median
$3,019.95
Typical High
$4,570.88
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$524.81
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$645.65
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$407.38
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,258.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$1,621.81
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$2,454.71
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$1,047.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Select Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$549.54
Typical High
$645.65
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$309.03
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$794.33

Where Utah 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.

Utah· 16th 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.