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Preventive Treatment For A Retinal Tear Or Weak Spot

Virginia 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?

$490

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $1,862 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 8 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$347 to $676
FacilityA hospital or hospital-owned outpatient department$1,862$490 to $4,677

How much rates vary

Facilitymedian $1,862 · 10th to 90th $316 to $8,318Professionalmedian $457 · 10th to 90th $251 to $1,622
$200$500$1K$2K$5K$10Kfacility $1,862professional $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
$416.87
Median
$3,235.94
Typical High
$8,912.51
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$302.00
Median
$436.52
Typical High
$630.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$1,513.56
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$436.52
Typical High
$851.14
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$346.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$812.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$489.78
Typical High
$831.76
Sentara
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$575.44
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$616.60
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,089.30
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$933.25

Where Virginia 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.

Virginia· 28th of 51

$490

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.