go back

Laser Treatment Of A Spot Behind The Retina

West Virginia rates for HCPCS 67220

Uses a laser to seal off an abnormal area in the layer of blood vessels beneath the retina, most often leaky new vessels that threaten central vision. The light is delivered through the pupil with a lens held against the numbed eye, and treatment may be spread over more than one sitting. The aim is to stop leaking and bleeding.

Rates data updated July 2026.

How much does Laser Treatment Of A Spot Behind The Retina cost?

$562

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $525 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 4 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$562$490 to $631
FacilityA hospital or hospital-owned outpatient department$525$490 to $603

How much rates vary

Facilitymedian $525 · 10th to 90th $490 to $1,230Professionalmedian $562 · 10th to 90th $457 to $851
$50$100$200$500$1K$2Kfacility $525professional $562

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
$489.78
Median
$524.81
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$676.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$602.56
CareSource
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$741.31
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$831.76
Typical High
$1,445.44

Where West Virginia sits

The same service costs 4.4 times more in Wyoming than in West Virginia. 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.

West Virginia· 51st of 51

$562

WY $2,455WV $562

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.