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Reinforcing The Outer Wall Of The Eye

Utah rates for HCPCS 67255

Strengthens the sclera, the tough white outer coat of the eye, in an eye that is stretching and thinning. The aim is to slow further lengthening of the eye, which is what drives worsening short-sightedness in these cases.

Rates data updated October 2026.

How much does Reinforcing The Outer Wall Of The Eye cost?

$4,942

Typical total for the visit. In Utah, October 2026.

Insurers have agreed to pay about $4,942 for this procedure. That total is two separate charges: $372 to the doctor who performs it, and $4,571 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$372$110 to $490
Facility feeThe hospital or surgery center$4,571$2,512 to $7,943

How much rates vary

Facilitymedian $4,571 · 10th to 90th $871 to $9,550Professionalmedian $372 · 10th to 90th $56 to $631
$50$200$1K$5Kfacility $4,571professional $372

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$4,570.88
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$2,630.27
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$977.24
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$338.84
Typical High
$512.86
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$8,317.64
Typical High
$10,471.29
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$912.01
Typical High
$1,000.00
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$1,023.29
Typical High
$2,884.03
United
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$3,311.31
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$758.58
Typical High
$1,412.54
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,332.54
Median
$12,302.69
Typical High
$15,848.93

Where Utah sits

The same service costs 3.5 times more in Alaska than in Montana. 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.

Physician feeFacility fee

Utah· 8th of 51

$4,942

$372 physician + $4,571 facility

AK $7,432MT $2,095

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.