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Laser Treatment For Widespread Retinal Disease

Montana rates for HCPCS 67228

This is a laser treatment applied across a wide area of the retina, the light-sensing layer at the back of the eye, used to treat extensive or worsening disease of the retina's blood vessels, such as advanced diabetic eye disease. The laser creates controlled small burns across the retina to reduce abnormal blood vessel growth and lower the risk of vision loss.

Rates data updated July 2026.

How much does Laser Treatment For Widespread Retinal Disease cost?

$851

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $575 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$912$562 to $1,023
FacilityA hospital or hospital-owned outpatient department$575$513 to $1,072

How much rates vary

Facilitymedian $575 · 10th to 90th $513 to $1,738Professionalmedian $912 · 10th to 90th $372 to $1,202
$500$2K$10K$50Kfacility $575professional $912

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
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$933.25
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$1,659.59
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$575.44
Typical High
$1,621.81
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$575.44
Typical High
$1,621.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,122.02
Typical High
$1,584.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$426.58
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$1,000.00

Where Montana sits

The same service costs 4.0 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.

Montana· 16th of 51

$851

WY $1,514WV $380

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.