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Freezing Or Heat Treatment For Retina Disease

New Jersey rates for HCPCS 67227

This treatment uses a freezing (cryotherapy) or controlled-heat (diathermy) technique applied to the outside of the eye to treat widespread or worsening damage to the retina, the light-sensing layer at the back of the eye. It's typically used for conditions such as advanced diabetic eye disease, where the retina's blood vessels or tissue are extensively affected. The goal is to slow or stop further damage to the retina.

Rates data updated July 2026.

How much does Freezing Or Heat Treatment For Retina Disease cost?

$468

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $5,888 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 5 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$347$269 to $537
FacilityA hospital or hospital-owned outpatient department$5,888$4,266 to $8,511

How much rates vary

Facilitymedian $5,888 · 10th to 90th $562 to $10,965Professionalmedian $347 · 10th to 90th $240 to $1,072
$200$500$1K$2K$5K$10Kfacility $5,888professional $347

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
$562.34
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$426.58
Typical High
$933.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$363.08
Typical High
$478.63
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$12,022.64
Typical High
$19,054.61
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,079.46
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$741.31

Where New Jersey sits

The same service costs 8.7 times more in California 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.

New Jersey· 32nd of 51

$468

CA $2,512WV $288

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.